Methods for identifying small molecules that modulate premature translation termination and nonsense mRNA decay

ABSTRACT

The present invention relates to methods for identifying compounds that modulate premature translation termination and/or nonsense-mediated mRNA decay by screening and identifying compounds that modulate the post-transcriptional expression of any gene with a premature translation stop codon. The invention particularly relates to using any gene encoding a premature stop codon to identify compounds that modulate premature translation termination and/or nonsense-mediated mRNA decay. A compound that modulates premature translation termination and/or nonsense-mediated mRNA decay of a target gene is identified using standard methods known in the art to measure changes in translation or mRNA stability of the gene product or mRNA of the gene with the premature stop codon. The methods of the present invention provide a simple, sensitive assay for high-throughput screening of libraries of compounds to identify pharmaceutical leads.

This application is entitled to and claims priority benefit to U.S. Provisional Patent Application No. 60/390,747, filed Jun. 21, 2002, U.S. Provisional Patent Application No. 60/398,180, filed Jul. 24, 2002 and U.S. Provisional Patent Application No. 60/398,287, filed Jul. 24, 2002, each of which are incorporated herein by reference in their entirety.

1. INTRODUCTION

The present invention relates to a method for screening and identifying compounds that modulate premature translation termination and/or nonsense-mediated messenger ribonucleic acid (“mRNA”) decay by screening and identifying compounds that modulate the post-transcriptional expression of any gene with a premature translation stop codon. A compound that modulates premature translation termination and/or nonsense-mediated mRNA decay of a target gene is identified using standard methods known in the art to measure changes in translation or mRNA stability of the gene product or mRNA of the gene with the premature stop codon. The methods of the present invention provide a simple, sensitive assay for high-throughput screening of libraries of compounds to identify pharmaceutical leads.

2. BACKGROUND OF THE INVENTION

Protein synthesis encompasses the processes of translation initiation, elongation, and termination, each of which has evolved to occur with great accuracy and has the capacity to be a regulated step in the pathway of gene expression. Recent studies, including those suggesting that events at termination may regulate the ability of ribosomes to recycle to the start site of the same mRNA, have underscored the potential of termination to regulate other aspects of translation. The RNA triplets UAA, UAG, and UGA are noncoding and promote translational termination. Termination starts when one of the three termination codons enters the A site of the ribosome signaling the polypeptide chain release factors to bind and recognize the termination signal. Subsequently, the ester bond between the 3′ nucleotide of transfer RNA (“tRNA”) located in the ribosome's P site and the nascent polypeptide chain is hydrolyzed, the completed polypeptide chain is released, and the ribosome subunits are recycled for another round of translation.

Nonsense-mediated mRNA decay is a surveillance mechanism that minimizes the translation and regulates the RNA stability of nonsense RNAs that contain chain termination mutations (see, e.g., Hentze & Kulozik, 1999, Cell 96:307-310; Culbertson, 1999, Trends in Genetics 15:74-80; Li & Wilkinson, 1998, Immunity 8:135-141; and Ruiz-Echevarria et al., 1996, Trends in Biological Sciences, 21:433-438). Chain termination mutations are caused by a base substitution or frameshift mutation changes a codon into a termination codon, i.e., a stop codon that causes translational termination. In nonsense-mediated mRNA decay, mRNAs with premature stop codons are subject to degradation. In some cases, a truncated protein is produced if the premature stop codon is located near the end of an open reading frame.

Certain classes of known antibiotics have been characterized and found to interact with RNA. For example, the antibiotic thiostreptone binds tightly to a 60-mer from ribosomal RNA (Cundliffe et al., 1990, in The Ribosome: Structure, Function & Evolution (Schlessinger et al., eds.) American Society for Microbiology, Washington, D.C. pp. 479-490). Bacterial resistance to various antibiotics often involves methylation at specific rRNA sites (Cundliffe, 1989, Ann. Rev. Microbiol. 43:207-233). Aminoglycosidic aminocyclitol (aminoglycoside) antibiotics and peptide antibiotics are known to inhibit group I intron splicing by binding to specific regions of the RNA (von Ahsen et al., 1991, Nature (London) 353:368-370). Some of these same aminoglycosides have also been found to inhibit hammerhead ribozyme function (Stage et al., 1995, RNA 1:95-101). In addition, certain aminoglycosides and other protein synthesis inhibitors have been found to interact with specific bases in 16S rRNA (Woodcock et al., 1991, EMBO J. 10:3099-3103). An oligonucleotide analog of the 16S rRNA has also been shown to interact with certain aminoglycosides (Purohit et al., 1994, Nature 370:659-662). A molecular basis for hypersensitivity to aminoglycosides has been found to be located in a single base change in mitochondrial rRNA (Hutchin et al., 1993, Nucleic Acids Res. 21:4174-4179). Aminoglycosides have also been shown to inhibit the interaction between specific structural RNA motifs and the corresponding RNA binding protein. Zapp et al. (Cell, 1993, 74:969-978) has demonstrated that the aminoglycosides neomycin B, lividomycin A, and tobramycin can block the binding of Rev, a viral regulatory protein required for viral gene expression, to its viral recognition element in the IIB (or RRE) region of HIV RNA. This blockage appears to be the result of competitive binding of the antibiotics directly to the RRE RNA structural motif.

Aminoglycosides have also been found to promote nonsense suppression (see, e.g., Bedwell et al., 1997, Nat. Med. 3:1280-1284 and Howard et al., 1996, Nat. Med. 2:467-469). Nonsense mutations cause approximately 10 to 30 percent of the individual cases of virtually all inherited diseases. Although nonsense mutations inhibit the synthesis of a full length protein to one percent or less of wild-type levels, minimally boosting the expression levels of the full length protein to between five and fifteen percent of normal levels can greatly reduce the severity or eliminate the disease. Clinical approaches that target the translation termination event to promote nonsense suppression have recently been described for model systems of cystic fibrosis and muscular dystrophy. Gentamicin is an aminoglycoside antibiotic that causes translational misreading and allowed the insertion of amino acids at the site of the nonsense codon in models of cystic fibrosis, Hurlers Syndrome, and muscular dystrophy (see, e.g., Barton-Davis et al., 1999, J. Clin. Invest. 104:375-381). These results strongly suggest that drugs that promote nonsense suppression by altering translation termination efficiency of a premature termination codon can be therapeutically valuable in the treatment of diseases caused by nonsense mutations.

Citation or identification of any reference in Section 2 of this application is not an admission that such reference is available as prior art to the present invention.

3. SUMMARY OF THE INVENTION

The present invention provides methods for identifying a compound that modulates premature translation termination and/or nonsense-mediated “mRNA decay. In particular, the invention provides methods for identifying a compound that suppresses premature translation termination and/or nonsense-mediated mRNA decay. The invention encompasses the use of the compounds identified utilizing the methods of the invention for the prevention, treatment, management or amelioration of a disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay, or a symptom thereof.

The invention provides cell-based and cell-free assays for the identification of a compound that modulates premature translation termination and/or nonsense-mediated mRNA decay. In general, the level of expression of a reporter gene product past the premature termination codon and/or activity of such a gene product in the reporter gene based-assays described herein is indicative of the effect of the compound on premature translation termination and/or nonsense-mediated mRNA decay. The reporter gene-based assays described herein for the identification of compounds that modulate premature translation termination and/or nonsense-mediated mRNA decay are well suited for high-throughput screening.

The reporter gene cell-based assays may be conducted by contacting a compound with a cell containing a nucleic acid sequence comprising a reporter gene, wherein the reporter gene comprises a premature stop codon or nonsense mutation, and measuring the expression of the reporter gene. The reporter gene cell-based assays may also be conducted by: (a) contacting a compound with a cell containing a first nucleic acid sequence and a second nucleic acid sequence, wherein the first nucleic acid sequence comprises a regulatory element operably linked to a reporter gene and the second nucleic acid sequence comprises a nucleotide sequence with a premature stop codon or nonsense mutation that encodes a regulatory protein that binds to the regulatory element of the first nucleic acid sequence and regulates the expression of the reporter gene; and (b) measuring the expression of the reporter gene.

The reporter gene cell-based assays may also be conducted by: (a) contacting a compound with a cell containing a first nucleic acid sequence, a second nucleic acid sequence and a third nucleic acid sequence, wherein (i) the first nucleic acid sequence comprises a nucleotide sequence encoding a first fusion protein comprising a DNA binding domain and a first protein, the nucleotide sequence of the DNA binding domain or the first protein containing a premature stop codon or nonsense mutation, (ii) the second nucleic acid sequence comprises a nucleotide sequence encoding a second fusion protein comprising an activation domain and a second protein, the second protein interacting with the first protein to produce a regulatory protein, and (iii) the third nucleic acid sequence comprises a regulatory element operably linked to a reporter gene, the expression of the reporter gene being regulated by the binding of the regulatory protein to the regulatory element: and (b) measuring the expression of the reporter gene. Further, the reporter gene cell-based assays may be conducted by: (a) contacting a compound with a cell containing a first nucleic acid sequence, a second nucleic acid sequence and a third nucleic acid sequence, wherein (i) the first nucleic acid sequence comprises a nucleotide sequence encoding a first fusion protein comprising a DNA binding domain and a first protein, (ii) the second nucleic acid sequence comprises a nucleotide sequence encoding a second fusion protein comprising an activation domain and a second protein, the nucleotide sequence of the activation domain or the second protein containing a premature stop codon or nonsense mutation, and the second protein interacting with the first protein to produce a regulatory protein, and (iii) the third nucleic acid sequence comprises a regulatory element operably linked to a reporter gene, the expression of the reporter gene being regulated by the binding of the regulatory protein to the regulatory element: and (b) measuring the expression of the reporter gene.

The reporter gene cell-free assays may be conducted by contacting a compound with a cell-free extract and a nucleic acid sequence comprising a reporter gene, wherein the reporter gene comprises a premature stop codon or nonsense mutation, and measuring the expression of the reporter gene. The reporter gene cell-free assays may also be conducted by contacting a compound with a cell-free extract and an in vitro transcribed RNA of a reporter gene, wherein the RNA product contains a premature stop codon or nonsense mutation, and measuring the expression of the protein encoded by the RNA product. The reporter gene cell-free assays may also be conducted by: (a) contacting a compound with a cell-free extract, a first nucleic acid sequence and a second nucleic acid sequence, wherein the first nucleic acid sequence comprises a regulatory element operably linked to a reporter gene and the second nucleic acid sequence comprises a nucleotide sequence with a premature stop codon or nonsense mutation that encodes a regulatory protein that binds to the regulatory element of the first nucleic acid sequence and regulates the expression of the reporter gene; and (b) measuring the expression of the reporter gene.

The reporter gene cell-free assays may also be conducted by: (a) contacting a compound with a cell-free extract, a first nucleic acid sequence, a second nucleic acid sequence and a third nucleic acid sequence, wherein (i) the first nucleic acid sequence comprises a nucleotide sequence encoding a first fusion protein comprising a DNA binding domain and a first protein, the nucleotide sequence of the DNA binding domain or the first protein containing a premature stop codon or nonsense mutation, (ii) the second nucleic acid sequence comprises a nucleotide sequence encoding a second fusion protein comprising an activation domain and a second protein, the second protein interacting with the first protein to produce a regulatory protein, and (iii) the third nucleic acid sequence comprises a regulatory element operably linked to a reporter gene, the expression of the reporter gene being regulated by the binding of the regulatory protein to the regulatory element: and (b) measuring the expression of the reporter gene. The reporter gene cell-free assays may also be conducted by: (a) contacting a compound with a cell-free extract, a first nucleic acid sequence, a second nucleic acid sequence and a third nucleic acid sequence, wherein (i) the first nucleic acid sequence comprises a nucleotide sequence encoding a first fusion protein comprising a DNA binding domain and a first protein, (ii) the second nucleic acid sequence comprises a nucleotide sequence encoding a second fusion protein comprising an activation domain and a second protein, the nucleotide sequence of the activation domain or the second protein containing a premature stop codon or nonsense mutation, and the second protein interacting with the first protein to produce a regulatory protein, and (iii) the third nucleic acid sequence comprises a regulatory element operably linked to a reporter gene, the expression of the reporter gene being regulated by the binding of the regulatory protein to the regulatory element; and (b) measuring the expression of the reporter gene.

In the cell-based and cell-free reporter gene assays described herein, the alteration in reporter gene expression or activity relative to a previously determined reference range, or to the expression or activity of the reporter gene in the absence of the compound or the presence of an appropriate control (e.g., a negative control) indicates that a particular compound modulates premature translation termination and/or nonsense-mediated mRNA decay. In particular, an increase in reporter gene expression or activity relative to a previously determined reference range, or to the expression in the absence of the compound or the presence of an appropriate control (e.g., a negative control) may, depending upon the parameters of the reporter gene assay, indicate that a particular compound reduces or suppresses premature translation termination and/or nonsense-mediated mRNA decay. In contrast, an decrease in reporter gene expression or activity relative to a previously determined reference range, or to the expression in the absence of the compound or the presence of an appropriate control (e.g., a negative control) may, depending upon the parameters of the reporter gene-based assay, indicate that a particular compound enhances premature translation termination and/or nonsense-mediated mRNA decay.

The invention relates to the identification of compounds that modulate premature translation termination or nonsense-mediated mRNA decay, using, in some instances, a reporter based assay. The invention provides for the identification of compounds that modulated premature translation termination via a nonsense stop codon in a nucleic acids. Such nucleic acids include, but are not limited to, DNA and RNA. In a more certain embodiment, the nucleic acid is RNA. In another embodiment, the nucleic acid is single stranded. In other embodiments, the nucleic acids are single stranded. In yet other embodiments, the nucleic acids are more than single stranded, e.g., double, triple or quadruple stranded.

In one embodiment, the invention provides a method for identifying a compound that modulates premature translation termination and/or nonsense-mediated mRNA decay, said method comprising: (a) expressing a nucleic acid sequence comprising a reporter gene in a cell, wherein the reporter gene comprises a premature stop codon; (b) contacting said cell with a member of a library of compounds; and (c) detecting the expression of said reporter gene, wherein a compound that modulates premature translation termination and/or nonsense-mediated mRNA decay is identified if the expression of said reporter gene in the presence of a compound is altered relative to a previously determined reference range, or the expression of said reporter gene in the absence of the compound or the presence of an appropriate control (e.g., a negative control such as phosphate buffered saline).

In another embodiment, the invention provides a method for identifying a compound that modulates premature translation termination and/or nonsense-mediated mRNA decay, said method comprising: (a) contacting a member of a library of compounds with a cell containing a nucleic acid sequence comprising a reporter gene, wherein the reporter gene comprises a premature stop codon; and (b) detecting the expression of said reporter gene, wherein a compound that modulates premature translation termination and/or nonsense-mediated mRNA decay is identified if the expression of said reporter gene in the presence of a compound is altered relative to a previously determined reference range, or the expression of said reporter gene in the absence of said compound or the presence of an appropriate control (e.g., a negative control).

In another embodiment, the invention provides a method for identifying a compound that modulates premature translation termination and/or nonsense-mediated mRNA decay, said method comprising: (a) contacting a member of a library of compounds with a cell-free extract and a nucleic acid sequence comprising a reporter gene, wherein the reporter gene comprises a premature stop codon; and (b) detecting the expression of said reporter gene, wherein a compound that modulates premature translation termination and/or nonsense-mediated mRNA decay is identified if the expression of said reporter gene in the presence of a compound is altered relative to a previously determined reference range, or the expression of said reporter gene in the absence of said compound or the presence of an appropriate control (e.g., a negative control). In accordance with this embodiment, the cell-extract is preferably isolated from cells that have been incubated at about 0° C. to about 10° C. and/or an S10 to S30 cell-free extract.

In another embodiment, the invention provides a method for identifying a compound that modulates premature translation termination and/or nonsense-mediated mRNA decay, said method comprising: (a) contacting a member of a library of compounds with a cell containing a first nucleic acid sequence and a second nucleic acid sequence, wherein the first nucleic acid sequence comprises a regulatory element operably linked to a reporter gene and the second nucleic acid sequence comprises a nucleotide sequence with a premature stop codon that encodes a regulatory protein that binds to the regulatory element of the first nucleic acid sequence and regulates the expression of the reporter gene; and (b) detecting the expression of the reporter gene, wherein a compound that modulates premature translation termination and/or nonsense-mediated mRNA decay is identified if the expression of said reporter gene in the presence of a compound is altered relative to a previously determined reference range, or the expression of said reporter gene in the absence of said compound or the presence of an appropriate control (e.g., a negative control).

In another embodiment, the invention provides a method for identifying a compound that modulates premature translation termination and/or nonsense-mediated mRNA decay, said method comprising: (a) contacting a member of a library of compounds with a cell containing a first nucleic acid sequence, a second nucleic acid sequence and a third nucleic acid sequence, wherein (i) the first nucleic acid sequence comprises a nucleotide sequence encoding a first fusion protein comprising a DNA binding domain and a first protein, the nucleotide sequence of the DNA binding domain or the first protein comprising a premature stop codon, (ii) the second nucleic acid sequence comprises a nucleotide sequence encoding a second fusion protein comprising an activation domain and a second protein, the second protein interacting with the first protein to produce a regulatory protein, and (iii) the third nucleic acid sequence comprises a regulatory element operably linked to a reporter gene, the expression of the reporter gene being regulated by the binding of the regulatory protein to the regulatory element; and (b) detecting the expression of the reporter gene, wherein a compound that modulates premature translation termination and/or nonsense-mediated mRNA decay is identified if the expression of said reporter gene in the presence of a compound is altered relative to a previously determined reference range, or the expression of said reporter gene in the absence of said compound or the presence of an appropriate control (e.g., a negative control).

In another embodiment, the invention provides a method for identifying a compound that modulates premature translation termination and/or nonsense-mediated mRNA decay, said method comprising: (a) contacting a member of a library of compounds with a cell containing a first nucleic acid sequence, a second nucleic acid sequence and a third nucleic acid sequence, wherein (i) the first nucleic acid sequence comprises a nucleotide sequence encoding a first fusion protein comprising a DNA binding domain and a first protein, (ii) the second nucleic acid sequence comprises a nucleotide sequence encoding a second fusion protein comprising an activation domain and a second protein, the nucleotide sequence of the activation domain or the second protein containing a premature stop codon, and the second protein interacting with the first protein to produce a regulatory protein, and (iii) the third nucleic acid sequence comprises a regulatory element operably linked to a reporter gene, the expression of the reporter gene being regulated by the binding of the regulatory protein to the regulatory element; and (b) detecting the expression of the reporter gene, wherein a compound that modulates premature translation termination and/or nonsense-mediated mRNA decay is identified if the expression of said reporter gene in the presence of a compound is altered relative to a previously determined reference range, or the expression of said reporter gene in the absence of said compound or the presence of an appropriate control (e.g., a negative control).

In another embodiment, the invention provides a method for identifying a compound that modulates premature translation termination and/or nonsense-mediated mRNA decay, said method comprising: (a) contacting a member of a library of compounds with a cell-free extract, a first nucleic acid sequence and a second nucleic acid sequence, wherein the first nucleic acid sequence comprises a regulatory element operably linked to a reporter gene and the second nucleic acid sequence comprises a nucleotide sequence with a premature stop codon that encodes a regulatory protein that binds to the regulatory element of the first nucleic acid sequence and regulates the expression of the reporter gene; and (b) detecting the expression of the reporter gene, wherein a compound that modulates premature translation termination and/or nonsense-mediated mRNA decay is identified if the expression of said reporter gene in the presence of a compound is altered relative to a previously determined reference range, or the expression of said reporter gene in the absence of said compound or the presence of an appropriate control (e.g., a negative control).

In another embodiment, the invention provides a method for identifying a compound that modulates premature translation termination and/or nonsense-mediated mRNA decay, said method comprising: (a) contacting a member of a library of compounds with a cell-free extract, a first nucleic acid sequence, a second nucleic acid sequence and a third nucleic acid sequence, wherein (i) the first nucleic acid sequence comprises a nucleotide sequence encoding a first fusion protein comprising a DNA binding domain and a first protein, the nucleotide sequence of the DNA binding domain or the first protein comprising a premature stop codon, (ii) the second nucleic acid sequence comprises a nucleotide sequence encoding a second fusion protein comprising an activation domain and a second protein, the second protein interacting with the first protein to produce a regulatory protein, and (iii) the third nucleic acid sequence comprises a regulatory element operably linked to a reporter gene, the expression of the reporter gene being regulated by the binding of the regulatory protein to the regulatory element; and (b) detecting the expression of the reporter gene, wherein a compound that modulates premature translation termination and/or nonsense-mediated mRNA decay is identified if the expression of said reporter gene in the presence of a compound is altered relative to a previously determined reference range, or the expression of said reporter gene in the absence of said compound or the presence of an appropriate control (e.g., a negative control).

In another embodiment, the invention provides a method for identifying a compound that modulates premature translation termination and/or nonsense-mediated mRNA decay, said method comprising: (a) contacting a member of a library of compounds with a cell-free extract, a first nucleic acid sequence, a second nucleic acid sequence and a third nucleic acid sequence, wherein (i) the first nucleic acid sequence comprises a nucleotide sequence encoding a first fusion protein comprising a DNA binding domain and a first protein, (ii) the second nucleic acid sequence comprises a nucleotide sequence encoding a second fusion protein comprising an activation domain and a second protein, the nucleotide sequence of the activation domain or the second protein containing a premature stop codon, and the second protein interacting with the first protein to produce a regulatory protein, and (iii) the third nucleic acid sequence comprises a regulatory element operably linked to a reporter gene, the expression of the reporter gene being regulated by the binding of the regulatory protein to the regulatory element; and (b) detecting the expression of the reporter gene, wherein a compound that modulates premature translation termination and/or nonsense-mediated mRNA decay is identified if the expression of said reporter gene in the presence of a compound is altered relative to a previously determined reference range, or the expression of said reporter gene in the absence of said compound or the presence of an appropriate control (e.g., a negative control).

In accordance with the invention, the step of contacting a compound with a cell, or cell-free extract and a nucleic acid sequence in the reporter gene-based assays described herein is preferably conducted in an aqueous solution comprising a buffer and a combination of salts (such as KCl, NaCl and/or MgCl₂). The optimal concentration of each salt used in the aqueous solution is dependent on, e.g., the protein, polypeptide or peptide encoded by the nucleic acid sequence (e.g., the regulatory protein) and the compounds used, and can be determined using routine experimentation. In a specific embodiment, the aqueous solution approximates or mimics physiologic conditions. In another specific embodiment, the aqueous solution further comprises a detergent or a surfactant.

The assays of the present invention can be performed using different incubation times. In the a cell-based system, the cell and a compound or a member of a library of compounds may be incubated together for at least 0.2 hours, 0.25 hours, 0.5 hours, 1 hour, 2 hours, 3 hours, 4 hours, 5 hours, 6 hours, 8 hours, 10 hours, 12 hours, 18 hours, at least 1 day, at least 2 days or at least 3 days before the expression and/or activity of a reporter gene is measured. In a cell-free system, the cell-free extract and the nucleic acid sequence(s) (e.g., a reporter gene) can be incubated together before the addition of a compound or a member of a library of compounds. In certain embodiments, the cell-free extract are incubated with a nucleic acid sequence(s) (e.g., a reporter gene) before the addition of a compound or a member of a library of compounds for at least 0.2 hours, 0.25 hours, 0.5 hours, 1 hour, 2 hours, 3 hours, 4 hours, 5 hours, 6 hours, 8 hours, 10 hours, 12 hours, 18 hours, or at least 1 day. In other embodiments, the cell-free extract, or the nucleic acid sequence(s) (e.g., a reporter gene) is incubated with a compound or a member of a library of compounds before the addition of the nucleic acid sequence(s) (e.g., a reporter gene), or the cell-free extract, respectively. In certain embodiments, a compound or a member of a library of compounds is incubated with a nucleic acid sequence(s) (e.g., a reporter gene) or cell-free extract before the addition of the remaining component, i.e., cell-free extract, or a nucleic acid sequence(s) (e.g., a reporter gene), respectively, for at least 0.2 hours, 0.25 hours, 0.5 hours, 1 hour, 2 hours, 3 hours, 4 hours, 5 hours, 6 hours, 8 hours, 10 hours, 12 hours, 18 hours, or at least 1 day. Once the reaction vessel comprises the components, i.e., a compound or a member of a library of compounds, the cell-free extract and the nucleic acid sequence(s) (e.g., a reporter gene), the reaction may be further incubated for at least 0.2 hours, 0.25 hours, 0.5 hours, 1 hour, 0.2 hours, 3 hours, 4 hours, 5 hours, 6 hours, 8 hours, 10 hours, 12 hours, 18 hours, or at least 1 day.

The progress of the reaction in the reporter gene-based assays can be measured continuously. Alternatively, time-points may be taken at different times of the reaction to monitor the progress of the reaction in the reporter gene-based assays.

The reporter gene-based assays described herein may be conducted in a cell genetically engineered to express a reporter gene or in vitro utilizing a cell-free extract. Any cell or cell line of any species well-known to one of skill in the art may be utilized in accordance with the methods of the invention. Further, a cell-free extract may be derived from any cell or cell line of any species well-known to one of skill in the art. Examples of cells and cell types include, but are not limited to, human cells, cultured mouse cells, cultured rat cells or Chinese hamster ovary (“CHO”) cells.

The reporter gene constructs utilized in the reporter gene-based assays described herein may comprise the coding region of a reporter gene and a premature stop codon that results in premature translation termination and/or nonsense-mediated mRNA decay. Preferably, the premature stop codon is N-terminal to the native stop codon of the reporter gene and is located such that the suppression of the premature stop codon is readily detectable. In a specific embodiment, a reporter gene construct utilized in the reporter gene-based assays described herein comprises the coding region of a reporter gene containing a premature stop codon at least 15 nucleotides, preferably 25 to 50 nucleotides, 50 to 75 nucleotides or 75 to 100 nucleotides from the start codon in the open reading frame of the reporter gene. In another embodiment, a reporter gene construct utilized in the reporter gene-based assays described herein comprises the coding region of a reporter gene containing a premature stop codon at least 15 nucleotides, preferably 25 to 50 nucleotides, 50 to 75 nucleotides, 75 to 100 nucleotides, or 100 to 150 nucleotides from the native stop codon in the open reading frame of the reporter gene. In another embodiment, a reporter gene construct utilized in the reporter gene-based assays described herein comprises the coding region of a reporter gene containing a UAG and/or UGA premature stop codon. In yet another embodiment, a reporter gene construct utilized in the reporter gene based assays described herein comprises the coding region of a reporter gene, containing a premature stop codon in the context of UGAA, UGAC, UGAG, UGAU, UAGA, UAGC, UAGG, UAGU, UAAA, UAAC, UAAG or UAAU.

Alternatively, the reporter gene constructs utilized in the reporter gene-based assays described herein comprise a regulatory element that is responsive to a regulatory protein encoded by a nucleic acid sequence containing a premature stop codon. Preferably, the premature stop codon in the nucleotide sequence of a regulatory protein or a component or subunit thereof is N-terminal to the native stop codon of the regulatory protein or component or subunit thereof and the location of the premature stop codon is such that it alters the biological activity of the regulatory protein (e.g., the ability of the regulatory protein to bind to its regulatory element). In a specific embodiment, the premature stop codon in the nucleotide sequence of a regulatory protein or a component or subunit thereof is at least 15 nucleotides preferably 25 to 50 nucleotides, 50 to 75 nucleotides or 75 to 100 nucleotides from the start codon in the open reading frame of the regulatory protein, component or subunit thereof. In another embodiment, the premature stop codon in the nucleotide sequence of a regulatory protein or a component or subunit thereof is at least 15 nucleotides, preferably 25 to 50 nucleotides, 50 to 75 nucleotides, 75 to 100 nucleotides, or 100 to 150 nucleotides from the native stop codon in the open reading frame of the regulatory protein, component or subunit thereof. In another embodiment, the premature stop codon in the nucleotide sequence of regulatory protein or a component or subunit thereof is UAG or UGA. Any reporter gene well-known to one of skill in the art may be utilized in the reporter gene constructs described herein. Examples of reporter genes include, but are not limited to, the gene encoding firefly luciferase, the gene coding renilla luciferase, the gene encoding click beetle luciferase, the gene encoding green fluorescent protein, the gene encoding yellow fluorescent protein, the gene encoding red fluorescent protein, the gene encoding cyan fluorescent protein, the gene encoding blue fluorescent protein, the gene encoding beta-galactosidase, the gene encoding beta-glucoronidase, the gene encoding beta-lactamase, the gene encoding chloramphenicol acetyltransferase, and the gene encoding alkaline phosphatase.

The compounds utilized in the assays described herein may be members of a library of compounds. In specific embodiment, the compound is selected from a combinatorial library of compounds comprising peptoids; random biooligomers; diversomers such as hydantoins, benzodiazepines and dipeptides; vinylogous polypeptides; nonpeptidal peptidomimetics; oligocarbamates; peptidyl phosphonates; peptide nucleic acid libraries; antibody libraries; carbohydrate libraries; and small organic molecule libraries. In a preferred embodiment, the small organic molecule libraries are libraries of benzodiazepines, isoprenoids, thiazolidinones, metathiazanones, pyrrolidines, morpholino compounds, or diazepindiones.

In certain embodiments, the compounds are screened in pools. Once a positive pool has been identified, the individual compounds of that pool are tested separately. In certain embodiments, the pool size is at least 2, at least 5, at least 10, at least 25, at least 50, at least 75, at least 100, at least 150, at least 200, at least 250, or at least 500 compounds.

Once a compound that modulates premature translation termination and/or nonsense-mediated mRNA decay is identified, the structure of the compound may be determined utilizing well-known techniques or by referring to a predetermined code. For example, the structure of the compound may be determined by mass spectroscopy, NMR vibrational spectroscopy, or X-ray crystallography.

A compound identified in accordance with the methods of the invention may directly bind to the mRNA translation machinery. Alternatively, a compound identified in accordance with the methods of invention may bind to the premature stop codon. A compound identified in accordance with the methods of invention may also disrupt an interaction between a premature stop codon and the mRNA translation machinery. In a preferred embodiment, a compound identified in accordance with the methods of the invention suppresses premature translation termination and/or nonsense-mediated mRNA decay of a gene encoding a protein, polypeptide or peptide whose expression is beneficial to a subject. In another preferred embodiment, a compound identified in accordance with the methods of the invention increases premature translation termination and/or nonsense-mediated mRNA decay of a gene encoding a protein, polypeptide or peptide whose expression is detrimental to a subject. In a specific embodiment, a compound identified in accordance with the methods of the invention preferentially or differentially modulates premature translation termination and/or nonsense-mediated mRNA decay of a specific nucleotide sequence of interest relative to another nucleotide sequence, as measured by an assay described herein or well known to one of skill in the art under the same or similar assay conditions.

In a specific embodiment, a compound identified in accordance with the invention suppresses premature translation termination or nonsense-mediated mRNA decay of a specific nucleotide sequence of interest by at least 5%, preferably at least 10%, at least 15%, at least 20%, at least 25%, at least 30%, at least 35%, at least 40%, at least 45%, at least 50%, at least 55%, at least 60%, at least 65%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, or at least 95%, relative to an appropriate control (e.g., a negative control such as PBS), in an assay described herein under the same or similar assay conditions. In accordance with this embodiment, preferably, the compound differentially or preferentially suppresses the nucleotide sequence of interest relative to another nucleotide sequence.

In certain embodiments of the invention, the compound identified using the assays described herein is a small molecule. In a preferred embodiment, the compound identified using the assays described herein is not known to affect premature translation termination and/or nonsense-mediated mRNA decay of a nucleic acid sequence, in particular a nucleic acid sequence of interest. In another preferred embodiment, the compound identified using the assays described herein has not been used as or suggested to be used in the prevention, treatment, management and/or amelioration of a disorder associated with, characterized by or caused by a premature stop codon. In another preferred embodiment, the compound identified using the assays described herein has not been used as or suggested to be used in the prevention, treatment, management and/or amelioration of a particular disorder described herein.

A compound identified in accordance with the methods of the invention may be tested in in vitro and/or in vivo assays well-known to one of skill in the art or described herein to determine the prophylactic or therapeutic effect of a particular compound for a particular disorder. In particular, a compound identified utilizing the assays described herein may be tested in an animal model to determine the efficacy of the compound in the prevention, treatment or amelioration of a disorder associated with, characterized by or caused by a premature stop codon, or a disorder described herein, or a symptom thereof. In addition, a compound identified utilizing the assays described herein may be tested for its toxicity in in vitro and/or in vivo assays well-known to one of skill in the art.

The invention provides for methods for preventing, treating, managing or ameliorating a disorder associated with, characterized by or caused by a premature stop codon or a symptom thereof, said method comprising administering to a subject in need thereof a therapeutically or prophylactically effective amount of a compound, or a pharmaceutically acceptable salt thereof, identified according to the methods described herein.

The present invention may be understood more fully by reference to the detailed description and examples, which are intended to illustrate non-limiting embodiments of the invention.

3.1. Terminology

As used herein, the term “compound” refers to any agent or complex that is being tested for its ability to modulate premature translation termination and/or nonsense-mediated mRNA decay or has been identified as modulating premature translation termination and/or nonsense-mediated mRNA decay.

As used herein, the terms “disorder” and “disease” are to refer to a condition in a subject. In a specific embodiment, the terms disease and disorder refer to a condition in a subject that is associated with, characterized by, or caused by premature translation termination and/or nonsense-mediated mRNA decay of one or more gene products. Non-limiting examples of such disease and disorders are described herein below.

As used herein, the term “effective amount” refers to the amount of a compound which is sufficient to (i) reduce or ameliorate the progression, severity and/or duration of a disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay, or one or more symptoms thereof, (ii) prevent the development, recurrence or onset of a disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay, or one or more symptoms thereof, (iii) prevent the advancement of a disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay, or one or more symptoms thereof, or (iv) enhance or improve the therapeutic(s) effect(s) of another therapy.

As used herein, the term “host cell” includes a particular subject cell transfected with a nucleic acid molecule and the progeny or potential progeny of such a cell. Progeny of such a cell may not be identical to the parent cell transfected with the nucleic acid molecule due to mutations or environmental influences that may occur in succeeding generations or integration of the nucleic acid molecule into the host cell genome.

As used herein, the term “in combination” refers to the use of more than one therapy (e.g., prophylactic and/or therapeutic agents). The use of the term “in combination” does not restrict the order in which therapies (e.g., prophylactic and/or therapeutic agents) are administered to a subject with a disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay. A first therapy (e.g., a prophylactic or therapeutic agent such as a compound identified in accordance with the methods of the invention) can be administered prior to (e.g., 5 minutes, 15 minutes, 30 minutes, 45 minutes, 1 hour, 2 hours, 4 hours, 6 hours, 12 hours, 24 hours, 48 hours, 72 hours, 96 hours, 1 week, 2 weeks, 3 weeks, 4 weeks, 5 weeks, 6 weeks, 8 weeks, or 12 weeks before), concomitantly with, or subsequent to (e.g., 5 minutes, 15 minutes, 30 minutes, 45 minutes, 1 hour, 2 hours, 4 hours, 6 hours, 12 hours, 24 hours, 48 hours, 72 hours, 96 hours, 1 week, 2 weeks, 3 weeks, 4 weeks, 5 weeks, 6 weeks, 8 weeks, or 12 weeks after) the administration of a second therapy (e.g., a prophylactic or therapeutic agent such as a chemotherapeutic agent or a TNF-α antagonist) to a subject with a disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay.

As used herein, the term “library” in the context of compounds refers to a plurality of compounds. A library can be a combinatorial library, e.g., a collection of compounds synthesized using combinatorial chemistry techniques, or a collection of unique chemicals of low molecular weight (less than 1000 daltons) that each occupy a unique three-dimensional space.

As used herein, the terms “manage”, “managing” and “management” refer to the beneficial effects that a subject derives from a therapy (e.g., a prophylactic or therapeutic agent) which does not result in a cure of the disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay. In certain embodiments, a subject is administered one or more therapies to “manage” a disease or disorder so as to prevent the progression or worsening of the disease or disorder.

As used herein, the phrase “modulation of premature translation termination and/or nonsense-mediated mRNA decay” refers to the regulation of gene expression by altering the level of nonsense suppression. For example, if it is desirable to increase production of a defective protein encoded by a gene with a premature stop codon, i.e., to permit readthrough of the premature stop codon of the disease gene so translation of the gene can occur, then modulation of premature translation termination and/or nonsense-mediated mRNA decay entails up-regulation of nonsense suppression. Conversely, if it is desirable to promote the degradation of an mRNA with a premature stop codon, then modulation of premature translation termination and/or nonsense-mediated mRNA decays entails down-regulation of nonsense suppression.

As used herein, the terms “non-responsive” and refractory” describe patients treated with a currently available therapy (e.g., prophylactic or therapeutic agent) for a disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay (e.g., cancer), which is not clinically adequate to relieve one or more symptoms associated with such disorder. Typically, such patients suffer from severe, persistently active disease and require additional therapy to ameliorate the symptoms associated with their disorder.

As used herein, “nonsense-mediated mRNA decay” refers to any mechanism that mediates the decay of mRNAs containing a premature translation termination codon.

As used herein, a “nonsense mutation” is a point mutation changing a codon corresponding to an amino acid to a stop codon.

As used herein, “nonsense suppression” refers to the inhibition or suppression of premature translation termination and/or nonsense-mediated mRNA decay.

The terms “nucleic acid,” “nucleic acid sequence,” “nucleotide sequence,” and analogous terms as used herein include DNA molecules (e.g., cDNA or genomic DNA), RNA molecules (e.g., mRNA), combinations of DNA and RNA molecules of hybrid DNA/RNA molecules, and analogs of DNA or RNA molecules. Such analogs can be generated using, for example, nucleotide analogs, which include, but are not limited to, inosine or tritylated bases. Such analogs can also comprise DNA or RNA molecules comprising modified backbones that lend beneficial attributes to the molecules, such as, for example, nuclease resistance or an increased ability to cross cellular membranes. The nucleic acids, nucleic acid sequences or nucleotide sequences can be single-stranded, double-stranded, may contain both single-stranded and double-stranded portions, and may contain triple-stranded portions, but prefereably is double-stranded DNA. In one embodiment, the nucleotide sequences comprise a contiguous open reading frame encoding a reporter gene, e.g., a cDNA molecule.

As used herein, the phrase “pharmaceutically acceptable salt(s),” includes, but is not limited to, salts of acidic or basic groups that may be present in compounds identified using the methods of the present invention. Compounds that are basic in nature are capable of forming a wide variety of salts with various inorganic and organic acids. The acids that can be used to prepare pharmaceutically acceptable acid addition salts of such basic compounds are those that form non-toxic acid addition salts, i.e., salts containing pharmacologically acceptable anions, including but not limited to sulfuric, citric, maleic, acetic, oxalic, hydrochloride, hydrobromide, hydroiodide, nitrate, sulfate, bisulfate, phosphate, acid phosphate, isonicotinate, acetate, lactate, salicylate, citrate, acid citrate, tartrate, oleate, tannate, pantothenate, bitartrate, ascorbate, succinate, maleate, gentisinate, fumarate, gluconate, glucaronate, saccharate, formate, benzoate, glutamate, methanesulfonate, ethanesulfonate, benzenesulfonate, p-toluenesulfonate and pamoate (i.e., 1,1′-methylene-bis-(2-hydroxy-3-naphthoate)) salts. Compounds that include an amino moiety may form pharmaceutically acceptable salts with various amino acids, in addition to the acids mentioned above. Compounds that are acidic in nature are capable of forming base salts with various pharmacologically acceptable cations. Examples of such salts include alkali metal or alkaline earth metal salts and, particularly, calcium, magnesium, sodium lithium, zinc, potassium, and iron salts.

As used herein, “premature translation termination” refers to the result of a mutation that changes a codon corresponding to an amino acid to a stop codon.

As used herein, the terms “prevent”, “preventing” and “prevention” refer to the prevention of the development, recurrence or onset of a disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay or one or more symptoms thereof resulting from the administration of one or more compounds identified in accordance the methods of the invention or the administration of a combination of such a compound and a known therapy for such a disorder.

As used herein, the term “previously determined reference range” refers to a reference range for the readout of a particular assay. In a specific embodiment, the term refers to a reference range for the expression of a reporter gene and/or the activity of a reporter gene product by a particular cell or in a particular cell-free extract. Each laboratory will establish its own reference range for each particular assay, each cell type and each cell-free extract. In a preferred embodiment, at least one positive control and at least one negative control are included in each batch of compounds analyzed.

As used herein, the terms “prophylactic agent” and “prophylactic agents” refer to any agent(s) which can be used in the prevention of a disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay. In certain embodiments, the term “prophylactic agent” refers to a compound identified in the screening assays described herein. In certain other embodiments, the term “prophylactic agent” refers to an agent other than a compound identified in the screening assays described herein which is known to be useful for, or has been or is currently being used to prevent or impede the onset, development and/or progression of a disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay or one or more symptoms thereof.

As used herein, the phrase “prophylactically effective amount” refers to the amount of a therapy (e.g., a prophylactic agent) which is sufficient to result in the prevention of the development, recurrence or onset of one or more symptoms associated with a disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay.

As used herein, the term “purified” in the context of a compound, e.g., a compound identified in accordance with the method of the invention, refers to a compound that is substantially free of chemical precursors or other chemicals when chemically synthesized. In a specific embodiment, the compound is 60%, preferably 65%, 70%, 75%, 80%, 85%, 90%, or 99% free of other, different compounds. In a preferred embodiment, a compound identified in accordance with the methods of the invention is purified.

As used herein, a “premature termination codon” or “premature stop codon” refers to the occurrence of a stop codon instead of a codon corresponding to an amino acid.

As used herein, a “reporter gene” refers to a gene by which modulation of premature translation termination and/or nonsense-mediated mRNA decay is ascertained. In a preferred embodiment, the expression of a reporter gene is easily assayed and has an activity which is not normally found in the organism of which the translation extract is derived.

As used herein, the term “small molecule” and analogous terms include, but are not limited to, peptides, peptidomimetics, amino acids, amino acid analogs, polynucleotides, polynucleotide analogs, nucleotides, nucleotide analogs, organic or inorganic compounds (i.e., including heterorganic and/or ganometallic compounds) having a molecular weight less than about 10,000 grams per mole, organic or inorganic compounds having a molecular weight less than about 5,000 grams per mole, organic or inorganic compounds having a molecular weight less than about 1,000 grams per mole, organic or inorganic compounds having a molecular weight less than about 500 grams per mole, and salts, esters, and other pharmaceutically acceptable forms of such compounds.

As used herein, the terms “subject” and “patient” are used interchangeably herein. The terms “subject” and “subjects” refer to an animal, preferably a mammal including a non-primate (e.g., a cow, pig, horse, cat, dog, rat, and mouse) and a primate (e.g., a chimpanzee, a monkey such as a cynomolgous monkey and a human), and more preferably a human. In one embodiment, the subject is refractory or non-responsive to current therapies for a disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay. In another embodiment, the subject is a farm animal (e.g., a horse, a cow, a pig, etc.) or a pet (e.g., a dog or a cat). In a preferred embodiment, the subject is a human.

As used herein, the term “synergistic” refers to a combination of a compound identified using one of the methods described herein, and another therapy (e.g., a prophylactic or therapeutic agent), which combination is more effective than the additive effects of the therapies. A synergistic effect of a combination of therapies (e.g., prophylactic or therapeutic agents) permits the use of lower dosages of one or more of the therapies and/or less frequent administration of said therapies to a subject with a proliferative disorder. The ability to utilize lower dosages of a therapy (e.g., a prophylactic or therapeutic agent) and/or to administer said therapy less frequently reduces the toxicity associated with the administration of said therapy to a subject without reducing the efficacy of said therapies in the prevention, treatment, management or amelioration of a disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay. In addition, a synergistic effect can result in improved efficacy of therapies (e.g., agents) in the prevention, treatment, management or amelioration of a disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay. Finally, a synergistic effect of a combination of therapies (e.g., prophylactic or therapeutic agents) may avoid or reduce adverse or unwanted side effects associated with the use of either therapy alone.

As used herein, the terms “therapeutic agent” and “therapeutic agents” refer to any agent(s) which can be used in the prevention, treatment, management or amelioration of one or more symptoms of a disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay. In certain embodiments, the term “therapeutic agent” refers to a compound identified in the screening assays described herein. In other embodiments, the term “therapeutic agent” refers to an agent other than a compound identified in the screening assays described herein which is known to be useful for, or has been or is currently being used to prevent, treat, manage or ameliorate a proliferative disorder or one or more symptoms thereof.

As used herein, the term “therapeutically effective amount” refers to that amount of a therapy (e.g., a therapeutic agent) sufficient to result in (i) the amelioration of one or more symptoms of a disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay, (ii) prevent advancement of a disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay, (iii) cause regression of av disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay, or (iv) to enhance or improve the therapeutic effect(s) of another therapy (e.g., therapeutic agent).

As used herein, the terms “treat”, “treatment” and “treating” refer to the reduction or amelioration of the progression, severity and/or duration of a disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay or one or more symptoms thereof resulting from the administration of one or more compounds identified in accordance the methods of the invention, or a combination of one or more compounds identified in accordance with the invention and another therapy.

As used herein, the terms “therapy” and “therapies” refer to any method, protocol and/or agent that can be used in the prevention, treatment, management or amelioration of a disesase or disorder or one or more symptoms thereof. In certain embodiments, such terms refer to chemotherapy, radiation therapy, surgery, supportive therapy and/or other therapies useful in the prevention, treatment, management or amelioration of a disease or disorder or one or more symptoms thereof known to skilled medical personnel.

4. BRIEF DESCRIPTION OF THE FIGURES

FIG. 1. Translation of a wild-type luciferase RNA in the in vitro translation reaction. Reaction mixtures were prepared containing varying amounts of wild-type luciferase RNA and varying amounts of HeLa cell extract. The amount of luciferase produced was monitored in a Turner luminometer by the addition of luciferase substrate (Promega).

FIG. 2. Translation of a nonsense containing (UGA) luciferase RNA in the in vitro translation reaction. Reaction mixtures were prepared containing varying amounts of luciferase RNA harboring a UGA nonsense mutation and varying amounts of HeLa cell extract. The amount of luciferase was monitored in a Turner luminometer by the addition of luciferase substrate (Promega).

FIG. 3. Translation of wild-type luciferase RNA by incubating the cells on ice prior to lysis. HeLa cell pellets were incubated on ice or not incubated on ice prior to lysis and the effect of the incubation on the translation activity of the cell-extract was measured in an in vitro translation reaction for luciferase production

FIG. 4 Translation of a nonsense (UGA) containing luciferase RNA in the in vitro translation reaction. Reaction mixtures were prepared with luciferase RNA containing a UGA nonsense mutation. Gentamicin was (GENT) or was not added (UNT) added to the reaction mixture and the amount of luciferase produced was monitored in a Viewlux luminometer by the addition of luciferase substrate (Promega).

FIG. 5. The amount of luciferase produced was monitored in a Viewlux luminometer by the addition of luciferase substrate (Promega).

FIG. 6A-6B. 6A: Nonsense suppression in cells harboring a luciferase nonsense allele. Stable cell lines harboring the UGA, UAA and UAG nonsense alleles of luciferase were treated overnight with Compound A, Compound B, and Gentamicin. The following day, the level of suppression was determined by measuring the amount of luminescence produced. The fold suppression above control cells treated with solvent was calculated and plotted vs. concentration of compound. 6B: Nonsense suppression in cells harboring a luciferase nonsense allele. Stable cell lines harboring the UGA, UAA and UAG nonsense alleles of luciferase were treated overnight with Compound A, and gentamicin. The following day, the level of suppression was determined by measuring the amount of luminescence produced. The fold suppression above control cells treated with solvent was calculated and plotted vs. concentration of compound.

FIG. 7A-7B. Chemical footprinting analysis of Compound A on the human 28S rRNA. 100 pmol of ribosomes were incubated with 100 μM compound, followed by treatment with chemical modifying agents (dimethyl sulfate [DMS] and kethoxal [KE]). Following chemical modification, rRNA was prepared and analyzed in primer extension reactions using end-labeled oligonucleotides hybridizing to rRNA. Panel A (lanes 1-3 DMS modification; lanes 4-6 KE modification): Lanes 1 and 4, DMSO treated; 2 and 5, paromomycin treated; 3 and 6, Compound A treated; 4. A sequencing reaction (indicated by lanes GATC in panel A) was run in parallel as a marker.

FIG. 8. Functional CFTR expression monitored as cAMP-induced anion efflux using the halide-sensitive fluorophore 6-methoxy-N-(3-sulphopro-pyl)quinolinium (SPQ). Compound A increases cAMP-stimulated chloride channel activity in cells expressing the W1282X mutation. Cells were initially loaded in a hypotonic buffer containing SPQ and sodium iodide; iodide quenches SPQ fluorescence (Yang et al., 1993, Hum Mol Genet. 2(8):1253-1261). Sodium iodide in the bath was replaced by sodium nitrate at 2 min; since nitrate does not interact with SPQ, fluorescence increased as cell iodide is lost to the bath. A cAMP stimulation cocktail (10 μM forskolin, 100 μM cpt-cAMP and 100 μM IBMX) was added at 6 min. Fluorescence was then quenched again by returning sodium iodide to the bath at 10 min. Functional CFTR expression was monitored as the dequenching of SPQ fluorescence caused by cAMP-induced iodide efflux.

FIG. 9. Immunohistochemistry of myotubes from primary cell culture from mdx muscle. The presence of dystrophin was detected by mAb to the COOH-terminus of dystrophin (F192A12) followed by a rhodamine-conjugated anti-mouse IgG. Dystrophin was present in mdx myotubes treated with 20 μM Compound A (left) and in mdx myotubes treated with 200 μM gentamicin (center). Little dystrophin was detected in untreated mdx myotubes (right).

FIG. 10A-10F. Immunohistochemistry of muscle cross-sections to view dystrophin. C57 control tibialis anterior (TA) muscle displayed positive staining for dystrophin (panel D). Muscle cross-sections from mdx mice treated with gentamicin (200 μM, panel A) and Compound A (10 μM panel B; 20 μM panel C) displayed positive staining for dystrophin. Muscle from untreated mdx mice (panel E) or from cross sections not treated with primary antibody (panel F) show only minimal staining.

5. DETAILED DESCRIPTION OF THE INVENTION

The present invention provides methods for identifying compounds that modulate premature translation termination and/or nonsense-mediated mRNA decay. In particular, the invention provides simple, rapid and sensitive methods for identifying compounds that modulate premature translation termination and/or nonsense-mediated mRNA decay. Any gene encoding a premature stop codon can be used in the cell-based and cell-free assays described herein to identify compounds that modulate premature translation termination and/or nonsense-mediated mRNA decay. The cell-based and cell-free assays described herein can be utilized in a high throughput format to screen libraries of compounds to identify those compounds that modulate premature translation termination and/or nonsense-mediated mRNA decay.

Reporter gene-based assays can be utilized to identify a compound that modulates premature translation termination and/or nonsense-mediated mRNA decay. The reporter gene-based assays described herein may be conducted by contacting a compound with a cell containing a nucleic acid sequence comprising a reporter gene, wherein said reporter gene comprises a premature stop codon, and measuring the expression and/or activity of the reporter gene. Alternatively, the reporter gene-based assays may be conducted by contacting a compound with a cell-free extract and a nucleic acid sequence comprising a reporter gene, wherein said reporter gene comprises a premature stop codon, and measuring the expression of said reporter gene. The reporter gene-based assays may also be conducted by: (a) contacting a compound with a cell containing a first nucleic acid sequence and a second nucleic acid sequence, wherein the first nucleic acid sequence comprises a reporter gene operably linked to a regulatory element and the second nucleic acid sequence comprises a nucleotide sequence encoding a regulatory protein or a subunit thereof with a premature stop codon and the regulatory protein regulates the expression of the reporter gene; and (b) measuring the expression and/or activity of the reporter gene. Further, the reporter gene-based assays may be conducted by: (a) contacting a compound with a cell-free extract, a first nucleic acid sequence and a second nucleic acid sequence, wherein the first nucleic acid sequence comprises a reporter gene operably linked to a regulatory element and the second nucleic acid sequence comprises a nucleotide sequence encoding a regulatory protein or a subunit thereof with a premature stop codon and the regulatory protein regulates the expression of the reporter gene; and (b) measuring the expression and/or activity of the reporter gene. The alteration in reporter gene expression relative to a previously determined reference range, or the expression of the reporter gene in the absence of the compound or an appropriate control (e.g., a negative control) in such reporter-gene based assays indicates that a particular compound modulates premature translation termination and/or nonsense-mediated mRNA decay.

The structure of the compounds identified in the assays described herein that modulate changes in post-transcriptional gene regulation can be determined utilizing assays well-known to one of skill in the art or described herein. The methods used will depend, in part, on the nature of the library screened. For example, assays or microarrays of compounds, each having an address or identifier, may be deconvoluted, e.g., by cross-referencing the positive sample to an original compound list that was applied to the individual test assays. Alternatively, the structure of the compounds identified herein may be determined using mass spectrometry, nuclear magnetic resonance (“NMR”), X ray crystallography, or vibrational spectroscopy.

The invention encompasses the use of the compounds that modulate premature translation termination and/or nonsense-mediated mRNA decay that were identified in accordance with the methods described herein. In particular, the invention encompasses the use of compounds identified as lead compounds for the development of prophylactic or therapeutic agents in the prevention, treatment, management and/or amelioration of a disease associated with, characterized by or caused by a nonsense mutation. Such diseases include, but are not limited to, cystic fibrosis, muscular dystrophy, heart disease, cancer, retinitis pigmentosa, collagen disorders, Tay-Sachs disease, blood disorders, kidney stones, ataxia-telangiectasia, lysosomal storage diseases, and tuberous sclerosis.

Section 5.1 describes genes with premature translation stop codons and cells and cell-free extracts that are useful in the methods of the invention. Section 5.2 describes libraries of compounds. Section 5.4 describes reporter gene-based assays for identifying compounds that modulate premature translation termination and/or nonsense-mediated mRNA decay. Section 5.5 describes naturally occurring genes with premature stop codons and examples of diseases associated with such genes. Section 5.6 describes secondary biological screens. Section 5.7 describes the methods for designing congeners or analogs of compounds identified in accordance with the methods of the invention. Section 5.8 describes uses of compounds identified in accordance with the methods of the invention for preventing, treating, managing or ameliorating a disease or abnormal condition in a subject associated with, characterized by or caused by a premature stop codon. Section 5.9 describes methods of administering compounds identified in accordance with the invention to a subject in need thereof.

5.1. Reporter Gene Constructs, Transfected Cells and Cell-Free Extracts

The invention provides for reporter genes to ascertain the effects of a compound on premature translation termination and/or nonsense-mediated mRNA decay. In general, the level of expression and/or activity of a reporter gene product is indicative of the effect of the compound on premature translation termination and/or nonsense-mediated mRNA decay.

The invention provides for specific vectors comprising a reporter gene operably linked to one or more regulatory elements and host cells transfected with the vectors. The invention also provides for the in vitro translation of a reporter gene flanked by one or more regulatory elements. A reporter gene may or may not contain a premature stop codon depending on the assay conducted. Techniques for practicing this specific aspect of this invention will employ, unless otherwise indicated, conventional techniques of molecular biology, microbiology, and recombinant DNA manipulation and production, which are routinely practiced by one of skill in the art. See, e.g., Sambrook, 1989, Molecular Cloning, A Laboratory Manual, Second Edition; DNA Cloning, Volumes I and II (Glover, Ed. 1985); Oligonucleotide Synthesis (Gait, Ed. 1984); Nucleic Acid Hybridization (Hames & Higgins, Eds. 1984); Transcription and Translation (Hames & Higgins, Eds. 1984); Animal Cell Culture (Freshney, Ed. 1986); Immobilized Cells and Enzymes (IRL Press, 1986); Perbal, A Practical Guide to Molecular Cloning (1984); Gene Transfer Vectors for Mammalian Cells (Miller & Calos, Eds. 1987, Cold Spring Harbor Laboratory); Methods in Enzymology, Volumes 154 and 155 (Wu & Grossman, and Wu, Eds., respectively), (Mayer & Walker, Eds., 1987); Immunochemical Methods in Cell and Molecular Biology (Academic Press, London, Scopes, 1987), Expression of Proteins in Mammalian Cells g Vaccinia Viral Vectors in Current Protocols in Molecular Biology, Volume 2 (Ausubel et al., Eds., 1991).

5.1.1. Reporter Genes

Any reporter gene well-known to one of skill in the art may be used in reporter gene constructs to ascertain the effect of a compound on premature translation termination. Reporter genes refer to a nucleotide sequence encoding a protein, polypeptide or peptide that is readily detectable either by its presence or activity. Reporter genes may be obtained and the nucleotide sequence of the elements determined by any method well-known to one of skill in the art. The nucleotide sequence of a reporter gene can be obtained, e.g., from the literature or a database such as GenBank. Alternatively, a polynucleotide encoding a reporter gene may be generated from nucleic acid from a suitable source. If a clone containing a nucleic acid encoding a particular reporter gene is not available, but the sequence of the reporter gene is known, a nucleic acid encoding the reporter gene may be chemically synthesized or obtained from a suitable source (e.g. a cDNA library, or a cDNA library generated from, or nucleic acid, preferably poly A+ RNA, isolated from, any tissue or cells expressing the reporter gene) by PCR amplification. Once the nucleotide sequence of a reporter gene is determined, the nucleotide sequence of the reporter gene may be manipulated using methods well-known in the art for the manipulation of nucleotide sequences, e.g., recombinant DNA techniques, site directed mutagenesis, PCR, etc. (see, for example, the techniques described in Sambrook et al., 1990, Molecular Cloning, A Laboratory Manual, 2d Ed., Cold Spring Harbor Laboratory, Cold Spring Harbor, N.Y. and Ausubel et al., eds., 1998, Current Protocols in Molecular Biology, John Wiley & Sons, NY, which are both incorporated by reference herein in their entireties), to generate reporter genes having a different amino acid sequence, for example to create amino acid substitutions, deletions, and/or insertions.

In a specific embodiment, a reporter gene is any naturally-occurring gene with a premature stop codon. Genes with premature stop codons that are useful in the present invention include, but are not limited to, the genes described below. In an alternative embodiment, a reporter gene is any gene that is not known in nature to contain a premature stop codon. Examples of reporter genes include, but are not limited to, luciferase (e.g., firefly luciferase, renilla luciferase, and click beetle luciferase), green fluorescent protein (“GFP”) (e.g., green fluorescent protein, yellow fluorescent protein, red fluorescent protein, cyan fluorescent protein, and blue fluorescent protein), beta-galactosidase (“beta-gal”), beta-glucoronidase, beta-lactamase, chloramphenicol acetyltransferase (“CAT”), and alkaline phosphatase (“AP”). Alternatively, a reporter gene can also be a protein tag, such as, but not limited to, myc, His, FLAG, or GST, so that nonsense suppression will produce the peptide and the protein can be monitored by an ELISA, a western blot, or any other immunoassay to detect the protein tag. Such methods are well known to one of skill in the art. In a preferred embodiment, the reporter gene is easily assayed and has an activity which is not normally found in the gene of interest. Table 1 below lists various reporter genes and the properties of the products of the reporter genes that can be assayed. In a preferred embodiment, a reporter gene utilized in the reporter constructs is easily assayed and has an activity which is not normally found in the cell or organism of interest.

TABLE 1 Reporter Genes and the Properties of the Reporter Gene Products Protein Activity & Reporter Gene Measurement CAT (chloramphenicol Transfers radioactive acetyl acetyltransferase) groups to chloramphenicol or detection by thin layer chromatography and autoradiography GAL (beta-galactosidase) Hydrolyzes colorless galactosides to yield colored products. GUS (beta-glucuronidase) Hydrolyzes colorless glucuronides to yield colored products. LUC (luciferase) Oxidizes luciferin, emitting photons GFP (green fluorescent protein) Fluorescent protein without substrate SEAP (secreted alkaline Luminescence reaction with suitable phosphatase) substrates or with substrates that generate chromophores HRP (horseradish peroxidase) In the presence of hydrogen oxide, oxidation of 3,3′,5,5′- tetramethylbenzidine to form a colored complex AP (alkaline phosphatase) Luminescence reaction with suitable substrates or with substrates that generate chromophores

Described hereinbelow in further detailed are specific reporter genes and characteristics of those reporter genes.

5.1.1.1. Luciferase

Luciferases are enzymes that emit light in the presence of oxygen and a substrate (luciferin) and which have been used for real-time, low-light imaging of gene expression in cell cultures, individual cells, whole organisms, and transgenic organisms (reviewed by Greer & Szalay, 2002, Luminescence 17(1):43-74).

As used herein, the term “luciferase” is intended to embrace all luciferases, or recombinant enzymes derived from luciferases which have luciferase activity. The luciferase genes from fireflies have been well characterized, for example, from the Photinus and Luciola species (see, e.g., International Patent Publication No. WO 95/25798 for Photinus pyralis, European Patent Application No. EP 0 524 448 for Luciola cruciata and Luciola lateralis, and Devine et al., 1993, Biochim. Biophys. Acta 1173(2):121-132 for Luciola mingrelica). Other eucaryotic luciferase genes include, but are not limited to, the click beetle (Photinus plagiophthalamus, see, e.g., Wood et al., 1989, Science 244:700-702), the sea panzy (Renilla reniformis, see, e.g., Lorenz et al., 1991, Proc Natl Acad Sci USA 88(10):4438-4442), and the glow worm (Lampyris noctiluca, see e.g., Sula-Newby et al., 1996, Biochem J. 313:761-767). The click beetle is unusual in that different members of the species emit bioluminescence of different colors, which emit light at 546 nm (green), 560 nm (yellow-green), 578 nm (yellow) and 593 nm (orange) (see, e.g, U.S. Pat. Nos. 6,475,719; 6,342,379; and 6,217,847, the disclosures of which are incorporated by reference in their entireties). Bacterial luciferin-luciferase systems include, but are not limited to, the bacterial lux genes of terrestrial Photorhabdus luminescens (see, e.g., Manukhov et al., 2000, Genetika 36(3):322-30) and marine bacteria Vibrio fischeri and Vibrio harveyi (see, e.g., Miyamoto et al., 1988, J Biol. Chem. 263(26):13393-9, and Cohn et al., 1983, Proc Natl Acad Sci USA, 80(1):120-3, respectively). The luciferases encompassed by the present invention also includes the mutant luciferases described in U.S. Pat. No. 6,265,177 to Squirrell et al., which is hereby incorporated by reference in its entirety.

In a specific embodiment, the luciferase is a firefly luciferase, a renilla luciferase, or a click beetle luciferase, as described in any one of the references listed supra, the disclosures of which are incorporated by reference in their entireties.

5.1.1.2. Green Fluorescent Protein

Green fluorescent protein (“GFP”) is a 238 amino acid protein with amino acid residues 65 to 67 involved in the formation of the chromophore which does not require additional substrates or cofactors to fluoresce (see, e.g., Prasher et al., 1992, Gene 111:229-233; Yang et al., 1996, Nature Biotechnol. 14:1252-1256; and Cody et al., 1993, Biochemistry 32:1212-1218).

As used herein, the term “green fluorescent protein” or “GFP” is intended to embrace all GFPs (including the various forms of GFPs which exhibit colors other than green), or recombinant enzymes derived from GFPs which have GFP activity. In a preferred embodiment, GFP includes green fluorescent protein, yellow fluorescent protein, red fluorescent protein cyan fluorescent protein, and blue fluorescent protein. The native gene for GFP was cloned from the bioluminescent jellyfish Aequorea victoria (see, e.g., Morin et al., 1972, J. Cell Physiol. 77:313-318). Wild type GFP has a major excitation peak at 395 nm and a minor excitation peak at 470 nm. The absorption peak at 470 nm allows the monitoring of GFP levels using standard fluorescein isothiocyanate (FITC) filter sets. Mutants of the GFP gene have been found useful to enhance expression and to modify excitation and fluorescence. For example, mutant GFPs with alanine, glycine, isoleucine, or threonine substituted for serine at position 65 result in mutant GFPs with shifts in excitation maxima and greater fluorescence than wild type protein when excited at 488 nm (see, e.g., Heim et al., 1995, Nature 373:663-664; U.S. Pat. No. 5,625,048; Delagrave et al., 1995, Biotechnology 13:151-154; Cormack et al., 1996, Gene 173:33-38; and Cramer et al., 1996, Nature Biotechnol. 14:315-319). The ability to excite GFP at 488 nm permits the use of GFP with standard fluorescence activated cell sorting (“FACS”) equipment. In another embodiment, GFPs are isolated from organisms other than the jellyfish, such as, but not limited to, the sea pansy, Renilla reriformis.

Techniques for labeling cells with GFP in general are described in U.S. Pat. Nos. 5,491,084 and 5,804,387, which are incorporated by reference in their entireties; Chalfie et al., 1994, Science 263:802-805; Heim et al., 1994, Proc. Natl. Acad. Sci. USA 91:12501-12504; Morise et al., 1974, Biochemistry 13:2656-2662; Ward et al., 1980, Photochem. Photobiol. 31:611-615; Rizzuto et al., 1995, Curr. Biology 5:635-642; and Kaether & Gerdes, 1995, FEBS Lett 369:267-271. The expression of GFPs in E. coli and C. elegans are described in U.S. Pat. No. 6,251,384 to Tan et al., which is incorporated by reference in its entirety. The expression of GFP in plant cells is discussed in Hu & Cheng, 1995, FEBS Lett 369:331-33, and GFP expression in Drosophila is described in Davis et al., 1995, Dev. Biology 170:726-729.

5.1.1.3. Beta Galactosidase

Beta galactosidase (“beta-gal”) is an enzyme that catalyzes the hydrolysis of beta-galactosides, including lactose, and the galactoside analogs o-nitrophenyl-beta-D-galactopyranoside (“ONPG”) and chlorophenol red-beta-D-galactopyranoside (“CPRG”) (see, e.g., Nielsen et al., 1983 Proc Natl Acad Sci USA 80(17):5198-5202; Eustice et al., 1991, Biotechniques 11:739-742; and Henderson et al., 1986, Clin. Chem. 32:1637-1641). The beta-gal gene functions well as a reporter gene because the protein product is extremely stable, resistant to proteolytic degradation in cellular lysates, and easily assayed. When ONPG is used as the substrate, beta-gal activity can be quantitated with a spectrophotometer or microplate reader.

As used herein, the term “beta galactosidase” or “beta-gal” is intended to embrace all beta-gals, including lacZ gene products, or recombinant enzymes derived from beta-gals which have beta-gal activity. The beta-gal gene functions well as a reporter gene because the protein product is extremely stable, resistant to proteolytic degradation in cellular lysates, and easily assayed In an embodiment where ONPG is the substrate, beta-gal activity can be quantitated with a spectrophotometer or microplate reader to determine the amount of ONPG converted at 420 nm. In an embodiment when CPRG is the substrate, beta-gal activity can be quantitated with a spectrophotometer or microplate reader to determine the amount of CPRG converted at 570 to 595 nm. In yet another embodiment, the beta-gal activity can be visually ascertained by plating bacterial cells transformed with a beta-gal construct onto plates containing Xgal and IPTG. Bacterial colonies that are dark blue indicate the presence of high beta-gal activity and colonies that are varying shades of blue indicate varying levels of beta-gal activity.

5.1.1.4. Beta-Glucuronidase

Beta-glucuronidase (“GUS”) catalyzes the hydrolysis of a very wide variety of beta-glucuronides, and, with much lower efficiency, hydrolyzes some beta-galacturonides. GUS is very stable, will tolerate many detergents and widely varying ionic conditions, has no cofactors, nor any ionic requirements, can be assayed at any physiological pH, with an optimum between 5.0 and 7.8, and is reasonably resistant to thermal inactivation (see, e.g., U.S. Pat. No. 5,268,463, which is incorporated by reference in its entirety).

In one embodiment, the GUS is derived from the Esherichia coli beta-glucuronidase gene. In alternate embodiments of the invention, the beta-glucuronidase encoding nucleic acid is homologous to the E. coli beta-glucuronidase gene and/or may be derived from another organism or species.

GUS activity can be assayed either by fluorescence or spectrometry, or any other method described in U.S. Pat. No. 5,268,463, the disclosure of which is incorporated by reference in its entirety. For a fluorescent assay, 4-trifluoromethylumbelliferyl beta-D-glucuronide is a very sensitive substrate for GUS. The fluorescence maximum is close to 500 nm—bluish green, where very few plant compounds fluoresce or absorb. 4-trifluoromethylumbelliferyl beta-D-glucuronide also fluoresces much more strongly near neutral pH, allowing continuous assays to be performed more readily than with MUG. 4-trifluoromethylumbelliferyl beta-D-glucuronide can be used as a fluorescent indicator in vivo. The spectrophotometric assay is very straightforward and moderately sensitive (Jefferson et al., 1986, Proc. Natl. Acad. Sci. USA 86:8447-8451). A preferred substrate for spectrophotometric measurement is p-nitrophenyl beta-D-glucuronide, which when cleaved by GUS releases the chromophore p-nitrophenol. At a pH greater than its pK_(a) (around 7.15) the ionized chromophore absorbs light at 400-420 nm, giving a yellow color.

5.1.1.5. Beta-Lactamases

Beta-lactamases are nearly optimal enzymes in respect to their almost diffusion-controlled catalysis of beta-lactam hydrolysis, making them suited to the task of an intracellular reporter enzyme (see, e.g., Christensen et al., 1990, Biochem. J. 266: 853-861). They cleave the beta-lactam ring of beta-lactam antibiotics, such as penicillins and cephalosporins, generating new charged moieties in the process (see, e.g., O'Callaghan et al., 1968, Antimicrob. Agents. Chemother. 8: 57-63 and Stratton, 1988, J. Antimicrob. Chemother. 22, Suppl. A: 23-35). A large number of beta-lactamases have been isolated and characterized, all of which would be suitable for use in accordance with the present invention (see, e.g., Richmond & Sykes, 1978, Adv. Microb. Physiol. 9:31-88 and Ambler, 1980, Phil. Trans. R. Soc. Lond. [Ser.B.] 289: 321-331, the disclosures of which are incorporated by reference in their entireties).

The coding region of an exemplary beta-lactamase employed has been described in U.S. Pat. No. 6,472,205, Kadonaga et al., 1984, J. Biol. Chem. 259: 2149-2154, and Sutcliffe, 1978, Proc. Natl. Acad. Sci. USA 75: 3737-3741, the disclosures of which re incorporated by reference in their entireties. As would be readily apparent to those skilled in the field, this and other comparable sequences for peptides having beta-lactamase activity would be equally suitable for use in accordance with the present invention. The combination of a fluorogenic substrate described in U.S. Pat. Nos. 6,472,205, 5,955,604, and 5,741,657, the disclosures of which are incorporated by reference in their entireties, and a suitable beta-lactamase can be employed in a wide variety of different assay systems, such as are described in U.S. Pat. No. 4,740,459, which is hereby incorporated by reference in its entirety.

5.1.1.6. Chloramphenicol Acetyltransferase

Chloramphenicol acetyl transferase (“CAT”) is commonly used as a reporter gene in mammalian cell systems because mammalian cells do not have detectable levels of CAT activity. The assay for CAT involves incubating cellular extracts with radiolabeled chloramphenicol and appropriate co-factors, separating the starting materials from the product by, for example, thin layer chromatography (“TLC”), followed by scintillation counting (see, e.g., U.S. Pat. No. 5,726,041, which is hereby incorporated by reference in its entirety).

As used herein, the term “chloramphenicol acetyltransferase” or “CAT” is intended to embrace all CATs, or recombinant enzymes derived from CAT which have CAT activity. While it is preferable that a reporter system which does not require cell processing, radioisotopes, and chromatographic separations would be more amenable to high through-put screening, CAT as a reporter gene may be preferable in situations when stability of the reporter gene is important. For example, the CAT reporter protein has an in vivo half life of about 50 hours, which is advantageous when an accumulative versus a dynamic change type of result is desired.

5.1.1.7. Secreted Alkaline Phosphatase

The secreted alkaline phosphatase (“SEAP”) enzyme is a truncated form of alkaline phosphatase, in which the cleavage of the transmembrane domain of the protein allows it to be secreted from the cells into the surrounding media. In a preferred embodiment, the alkaline phosphatase is isolated from human placenta.

As used herein, the term “secreted alkaline phosphatase” or “SEAP” is intended to embrace all SEAP or recombinant enzymes derived from SEAP which have alkaline phosphatase activity. SEAP activity can be detected by a variety of methods including, but not limited to, measurement of catalysis of a fluorescent substrate, immunoprecipitation, HPLC, and radiometric detection. The luminescent method is preferred due to its increased sensitivity over calorimetric detection methods. The advantages of using SEAP is that a cell lysis step is not required since the SEAP protein is secreted out of the cell, which facilitates the automation of sampling and assay procedures. A cell-based assay using SEAP for use in cell-based assessment of inhibitors of the Hepatitis C virus protease is described in U.S. Pat. No. 6,280,940 to Potts et al. which is hereby incorporated by reference in its entirety.

5.1.2. Proteins that Regulate the Expression of Reporter Genes

The invention provides a nucleic acid sequence comprising a nucleotide sequence encoding a regulatory protein or a component or subunit thereof, which regulatory protein binds to a regulatory element operably linked to a reporter gene and regulates the expression of the reporter gene. The expression of the full-length regulatory protein or component or subunit thereof is suppressed or inhibited in the absence of a compound that suppresses premature translation termination and/or nonsense-mediated mRNA decay because of the presence of a premature stop codon or nonsense mutation within the open reading frame of the nucleotide sequence encoding the regulatory protein. The expression of the full-length regulatory protein or component or subunit thereof is, thus, contingent on the suppression of the premature stop codon or nonsense mutation by a compound. As the expression of the reporter gene is regulated by a regulatory element responsive to the full-length regulatory protein, reporter gene expression should only be detected in the presence of a compound that suppresses the premature stop codon or nonsense mutation.

The location of the premature stop codon or nonsense mutation is N-terminal to the native stop codon of the regulatory protein or component or subunit thereof. In a specific embodiment, the premature stop codon or nonsense mutation is at least 15 nucleotides, preferably at least 25 nucleotides, at least 50 nucleotides, at least 75 nucleotides or at least 100 nucleotides from the start codon in the open reading frame of the nucleotide sequence encoding the regulatory protein or a component or subunit thereof. In another embodiment, the premature stop codon or nonsense mutation is at least 15 nucleotides, preferably at least 25 nucleotides, at least 50 nucleotides, at leat 75 nucleotides or at least 100 nucleotides from the native stop codon in the open reading frame of the nucleotide sequence encoding the regulatory protein or a component or subunit thereof. In another embodiment, the premature stop codon in the open reading frame of the nucleotide sequences. In another embodiment, the premature stop codon in the open reading frame of the nucleotide sequence encoding the regulatory protein or a component or subunit thereof is in the context of UGAA, UGAC, UGAG, UGAU, UAGA, UAGC, UAGG, UAGU, UAAA, UAAC, UAAG or UAAU. In yet another embodiment, the nucleotide sequence encoding the regulatory protein or a component or subunit thereof, contains or is engineered to contain two, three, four or more stop codons. In another embodiment, the premature stop codon in the open reading frame of the nucleotide sequences encoding the regulatory protein or a component or subunit thereof is UAG or UGA.

In one embodiment, the invention provides a nucleic acid sequence comprising a nucleotide sequence encoding a regulatory protein with a premature stop codon or nonsense mutation. In accordance with this embodiment, the nucleic acid sequence can encode a naturally-occurring gene with a premature stop codon or nonsense mutation or the nucleic acid sequence can be engineered to contain a premature stop codon or nonsense mutation using techniques well-known in the art. In this case, the expression of the full-length regulatory protein regulates the expression of the reporter gene which is detected by techniques well-known in the art or described herein.

In another embodiment, the invention provides a first nucleic acid sequence and a second nucleic acid sequence, wherein the first nucleic acid sequence comprises a nucleotide sequence encoding a first fusion protein comprising (or alternatively, consisting of) a DNA binding domain and a first protein, and the second nucleic acid sequence comprises a nucleotide sequence encoding a second fusion protein comprising (or alternatively, consisting of) an activation domain and a second protein. In accordance with this embodiment, the nucleotide sequence encoding the first or second fusion protein may contain or be engineered to contain a premature stop codon or nonsense mutation. The first fusion protein and second fusion protein interact and produce a regulatory protein when the premature stop codon or nonsense mutation is suppressed by a compound. Thus, the production of a functional regulatory protein is dependent on suppression of a premature stop codon or nonsense mutation. In this case, the production of the functional regulatory protein regulates the expression of the reporter gene which is detected by techniques well-known in the art or described herein.

In one embodiment of the invention, the protein that regulates expression of a gene contains domains which are associated with various activities related to transcriptional regulation, including, but not limited to, binding and activation. In one embodiment, a binding domain of a regulatory protein is one that recognizes and specifically associates with a sequence of at least two nucleotides of a nucleic acid. Nucleic acids that can be recognized by a binding domain of a protein, include, but are not limited to, DNA and RNA both single and multiple stranded. In a more specific embodiment, a binding domain can adopt one of a number of conformations or motifs, known in the art, including but not limited to, zinc finger, leucine zipper, helix turn helix and helix loop helix. In a more preferred embodiment, the binding domain protein is one that specifically recognizes a region of a nucleic acid. Such recognition can occur through a number of interactions, including, but not limited to, covalent, hyrophobic and van der Waals. In another embodiment, an activation domain is one that modulates, regulates, enhances, suppresses or controls the expression of a gene. In such an embodiment, the activation domain can modulate, regulate, enhance, suppress or control the expression of a gene by interacting, either directly or indirectly, with other compounds or proteins that are required or involved in gene expression. In one embodiment, such domains can be expressed as proteins that are fused with other proteins suitable for the described assays. For example, in one embodiment, the activation domain of a regulatory protein is expressed as part of a protein or polypeptide encoded by a nucleic acid, and the binding domain of a regulatory protein is expressed as a part of a protein or polypeptide encoded by another nucleic acid. In a more specific embodiment, such binding and regulatory domains are expressed as fusion proteins with other proteins with properties that are suitable to the assay. In an example of an embodiment suitable to the described assays, the binding and regulatory domains are expressed on separate fusion proteins with proteins that interact with each other. For example, the binding domain can be expressed as a chimeric protein that is fused to another protein known to associate with another protein that is expressed from a separate nucleic acid and fused to the activation domain. In such an embodiment, a regulatory complex is formed by the association between the binding domain and the activation domain expressed as parts of the described fusion proteins. Interaction between the two domains can be mediated or initiated by a number of means, preferably through inter or intra molecular associations between the parts of the described fusion proteins that are known to interact with one another. Examples of proteins or complexes that contain domains that bind to nucleic acids in addition to possessing regulatory functions include, but are not limited to, GAL4, glucocorticoid and estrogen receptors (GR and ER), Xfin protein, GCN4, and the transcription factor Max in complex with oncogene Myc.

The invention relates to the identification of compounds that modulate premature translation termination or nonsense-mediated mRNA decay, using, in some instances, a reporter based assay. The invention provides for the identification of compounds that modulated premature translation termination via a nonsense stop codon in a nucleic acids. Such nucleic acids include, but are not limited to, DNA and RNA. In a more certain embodiment, the nucleic acid is RNA. In another embodiment, the nucleic acid is single stranded. In other embodiments, the nucleic acids are single stranded. In yet other embodiments, the nucleic acids are more than single stranded, e.g., double, triple or quadruple stranded.

5.1.3. Stop Codons

The present invention provides for methods for screening and identifying compounds that modulate premature translation termination and/or nonsense-mediated mRNA decay. A reporter gene may be engineered to contain a premature stop codon or may naturally contain a premature stop codon. Alternatively, a protein, polypeptide or peptide that regulates (directly or indirectly) the expression of a reporter gene may be engineered to contain or may naturally contain a premature stop codon. The premature stop codon may any one of the stop codons known in the art including UAG, UAA and UGA.

The stop codons are UAG, UAA, and UGA, i.e., signals to the ribosome to terminate protein synthesis, presumably through protein release factors. Even though the use of these stop codons is widespread, they are not universal. For example, UGA specifies tryptophan in the mitochondria of mammals, yeast, Neurospora crassa, Drosophila, protozoa, and plants (see, e.g., Breitenberger & RajBhandary, 1985, Trends Biochem Sci 10:481). Other examples include the use of UGA for tryptophan in Mycoplasma and, in ciliated protozoa, the use of UAA and UAG for glutamine (see, e.g., Jukes et al., 1987, Cold Spring Harb Symp Quant Biol. 52:769-776), the use of UGA for cysteine in the ciliate Euplotes aediculatus (see, e.g., Kervestin et al., 2001, EMBO Rep 2001 August; 2(8):680-684), the use of UGA for tryptophan in Blepharisma americanum and the use of UAR for glutamine in Tetrahymena, and three spirotrichs, Stylonychia lemnae, S. mytilus, and Oxytricha trifallax (see, e.g., Lozupone et al., 2001, Curr Biol 11(2):65-74). It has been proposed that the ancestral mitochondrion was bearing the universal genetic code and subsequently reassigned the UGA codon to tryptophan independently, at least in the lineage of ciliates, kinetoplastids, rhodophytes, prymnesiophytes, and fungi (see, e.g., Inagaki et al., 1998, J Mol Evol 47(4):378-384).

The readthrough of stop codons also occurs in positive-sense ssRNA viruses by a variety of naturally occurring suppressor tRNAs. Such naturally-occurring suppressor tRNAs include, but are not limited to, cytoplasmic tRNATyr, which reads through the UAG stop codon; cytoplasmic tRNAsGln, which read through UAG and UAA; cytoplasmic tRNAsLeu, which read through UAG; chloroplast and cytoplasmic tRNAsTrp, which read through UGA; chloroplast and cytoplasmic tRNAsCys, which read through UGA; cytoplasmic tRNAsArg, which read through UGA (see, e.g., Beier & Grimm, 2001, Nucl Acids Res 29(23):4767-4782 for a review); and the use of selenocysteine to suppress UGA in E. coli (see, e.g., Baron & Böck, 1995, The selenocysteine inserting tRNA species: structure and function. In Söll, D. and RajBhandary, U. L. (eds), tRNA: Structure, Biosynthesis and Function, ASM Press, Washington, D.C., pp. 529 544). The mechanism is thought to involve unconventional base interactions and/or codon context effects.

As described above, the stop codons are not necessarily universal, with consideration variation amongst organelles (e.g., mitochondria and chloroplasts), viruses (e.g., single strand viruses), and protozoa (e.g., ciliated protozoa) as to whether the codons UAG, UAA, and UGA signal translation termination or encode amino acids. Even though a single release factor most probably recognizes all of the stop codons in eucaryotes, it appears that all of the stop codons are not suppressed in a similar matter. For example, in the yeast Saccharomyces pombe, nonsense suppression has to be strictly codon specific (see, e.g., Hottinger et al., 1984, EMBO J 3:423-428). In another example, significant differences were found in the degree of suppression amongst three UAG codons and two UAA codons in different mRNA contexts in Escherichia coli and in human 293 cells, although data suggested that the context effects of nonsense suppression operated differently in E. coli and human cells (see, e.g., Martin et al., 1989, Mol Gen Genet 217(2 3):411 8). Since unconventional base interactions and/or codon context effects have been implicated in nonsense suppression, it is conceivable that compounds involved in nonsense suppression of one stop codon may not necessarily be involved in nonsense suppression of another stop codon. In other words, compounds involved in suppressing UAG codons may not necessarily be involved in suppressing UGA codons.

In a specific embodiment, a reporter gene or a gene encoding a protein, polypeptide or peptide that regulates the expression of a reporter gene contains or is engineered to contain the premature stop codon UAG. In another embodiment, a reporter gene or a gene encoding a protein, polypeptide or peptide that regulates the expression of a reporter gene contains or is engineered to contain the premature stop codon UGA. In yet another embodiment, a reporter gene or a gene encoding a protein, polypeptide or peptide that regulates the expression of a reporter gene contains or is engineered to contain a premature stop codon in the context of UGAA, UGAC, UGAG, UGAU, UAGA, UAGC, UAGG, UAGU, UAAA, UAAC, UAAG or UAAU.

In a particular embodiment, a reporter gene or a gene encoding a protein, polypeptide or peptide that regulates the expression of a reporter gene contains or is engineered to contain two, three, four or more stop codons. In accordance with this embodiment, the stop codons are preferably at least 10 nucleotides, at least 15 nucleotides, at least 20 nucleotides, at least 25 nucleotides, at least 30 nucleotides, at least 35 nucleotides, at least 40 nucleotides, at least 45 nucleotides, at least 50 nucleotides, at least 75 nucleotides or at least 100 nucleotides apart from each other. Further; in accordance with this embodiment, at least one of the stop codons is preferably UAG or UGA.

In a specific embodiment, a reporter gene or a gene encoding a protein, polypeptide or peptide that regulates the expression of a reporter gene contains or is engineered to contain a premature stop codon at least 15 nucleotides, preferably at least 20 nucleotides, at least 25 nucleotides, at least 30 nucleotides, at least 35 nucleotides, at least 40 nucleotides, at least 45 nucleotides, at least 50 nucleotides or at least 75 nucleotides from the start codon in the coding sequence. In another embodiment, a reporter gene or a gene encoding a protein, polypeptide or peptide that regulates the expression of a reporter gene contains or is engineered to contain a premature stop codon at least 15 nucleotides, preferably at least 25 nucleotides, at least 50 nucleotides, at least 75 nucleotides, at least 100 nucleotides, at least 125 nucleotides, at least 150, at least 175 nucleotides or at least 200 nucleotides from the native stop codon in the coding sequence of the full-length reporter gene product or protein, polypeptide or peptide. In another embodiment, a reporter gene or a gene encoding a protein, polypeptide or peptide that regulates the expression of a reporter gene contains or is engineered to contain a premature stop codon at least 15 nucleotides (preferably at least 20 nucleotides, at least 25 nucleotides, at least 30 nucleotides, at least 35 nucleotides, at least 40 nucleotides, at least 45 nucleotides, at least 50 nucleotides or at least 75 nucleotides) from the start codon in the coding sequence and at least 15 nucleotides (preferably at least 25 nucleotides, at least 50 nucleotides, at least 75 nucleotides, at least 100 nucleotides, at least 125 nucleotides, at least 150, at least 175 nucleotides or at least 200 nucleotides) from the native stop codon in the coding sequence of the full-length reporter gene product or protein, polypeptide or peptide. In accordance with these embodiments, the premature stop codon is preferably UAG or UGA.

The premature translation stop codon can be produced by in vitro mutagenesis techniques such as, but not limited to, polymerase chain reaction (“PCR”), linker insertion, oligonucleotide-mediated mutagenesis, and random chemical mutagenesis.

5.1.4. Vectors

The nucleotide sequence encoding for a protein, polypeptide or peptide (e.g., a reporter gene, or a protein, polypeptide or peptide that regulates the expression of a reporter gene) can be inserted into an appropriate expression vector, i.e., a vector which contains the necessary elements for the transcription and translation of the inserted protein-coding sequence. The necessary transcriptional and translational elements can also be supplied by the protein, polypeptide or peptide. The regulatory regions and enhancer elements can be of a variety of origins, both natural and synthetic. In a specific embodiment, a reporter gene is operably linked to regulatory element that is responsive to a regulatory protein whose expression is dependent upon the suppression of a premature stop codon.

A variety of host-vector systems may be utilized to express a protein, polypeptide or peptide. These include, but are not limited to, mammalian cell systems infected with virus (e.g., vaccinia virus, adenovirus, etc.); insect cell systems infected with virus (e.g., baculovirus); microorganisms such as yeast containing yeast vectors, or bacteria transformed with bacteriophage, DNA, plasmid DNA, or cosmid DNA; and stable cell lines generated by transformation using a selectable marker. The expression elements of vectors vary in their strengths and specificities. Depending on the host-vector system utilized, any one of a number of suitable transcription and translation elements may be used.

Any of the methods previously described for the insertion of DNA fragments into a vector may be used to construct expression vectors containing a chimeric nucleic acid consisting of appropriate transcriptional/translational control signals and the protein coding sequences. These methods may include in vitro recombinant DNA and synthetic techniques and in vivo recombinants (genetic recombination). Expression of a first nucleic acid sequence encoding a protein, polypeptide or peptide, such as a reporter gene, may be regulated by a second nucleic acid sequence so that the first nucleic acid sequence is expressed in a host transformed with the second nucleic acid sequence. For example, expression of a nucleic acid sequence encoding a protein, polypeptide or peptide, such as a reporter gene, may be controlled by any promoter/enhancer element known in the art, such as a constitutive promoter, a tissue-specific promoter, or an inducible promoter. Specific examples of promoters which may be used to control gene expression include, but are not limited to, the SV40 early promoter region (Bernoist & Chambon, 1981, Nature 290:304-310), the promoter contained in the 3′ long terminal repeat of Rous sarcoma virus (Yamamoto et al., 1980, Cell 22:787-797), the herpes thymidine kinase promoter (Wagner et al., 1981, Proc. Natl. Acad. Sci. U.S.A. 78:1441-1445), the regulatory sequences of the metallothionein gene (Brinster et al., 1982, Nature 296:39-42); prokaryotic expression vectors such as the β-lactamase promoter (Villa-Kamaroff et al., 1978, Proc. Natl. Acad. Sci. U.S.A. 75:3727-3731), or the tac promoter (DeBoer et al., 1983, Proc. Natl. Acad. Sci. U.S.A. 80:21-25); see also “Useful proteins from recombinant bacteria” in Scientific American, 1980, 242:74-94; plant expression vectors comprising the nopaline synthetase promoter region (Herrera-Estrella et al., Nature 303:209-213) or the cauliflower mosaic virus 35S RNA promoter (Gardner, et al., 1981, Nucl. Acids Res. 9:2871), and the promoter of the photosynthetic enzyme ribulose biphosphate carboxylase (Herrera-Estrella et al., 1984, Nature 310:115-120); promoter elements from yeast or other fungi such as the Gal 4 promoter, the ADC (alcohol dehydrogenase) promoter, PGK (phosphoglycerol kinase) promoter, alkaline phosphatase promoter, and the following animal transcriptional control regions, which exhibit tissue specificity and have been utilized in transgenic animals: elastase I gene control region which is active in pancreatic acinar cells (Swift et al., 1984, Cell 38:639-646; Ornitz et al., 1986, Cold Spring Harbor Symp. Quant. Biol. 50:399-409; MacDonald, 1987, Hepatology 7:425-515); insulin gene control region which is active in pancreatic beta cells (Hanahan, 1985, Nature 315:115-122), immunoglobulin gene control region which is active in lymphoid cells (Grosschedl et al., 1984, Cell 38:647-658; Adames et al., 1985, Nature 318:533-538; Alexander et al., 1987, Mol. Cell. Biol. 7:1436-1444), mouse mammary tumor virus control region which is active in testicular, breast, lymphoid and mast cells (Leder et al., 1986, Cell 45:485-495), albumin gene control region which is active in liver (Pinkert et al., 1987, Genes and Devel. 1:268-276), alpha-fetoprotein gene control region which is active in liver (Krumlauf et al., 1985, Mol. Cell. Biol. 5:1639-1648; Hammer et al., 1987, Science 235:53-58; alpha 1-antitrypsin gene control region which is active in the liver (Kelsey et al., 1987, Genes and Devel. 1:161-171), beta-globin gene control region which is active in myeloid cells (Mogram et al., 1985, Nature 315:338-340; Kollias et al., 1986, Cell 46:89-94; myelin basic protein gene control region which is active in oligodendrocyte cells in the brain (Readhead et al., 1987, Cell 48:703-712); myosin light chain-2 gene control region which is active in skeletal muscle (Sani, 1985, Nature 314:283-286), and gonadotropic releasing hormone gene control region which is active in the hypothalamus (Mason et al., 1986, Science 234:1372-1378).

In a specific embodiment, a vector is used that comprises a promoter operably linked to a reporter gene, one or more origins of replication, and, optionally, one or more selectable markers (e.g., an antibiotic resistance gene). In a preferred embodiment, the vectors are CMV vectors, T7 vectors, lac vectors, pCEP4 vectors, 5.0/F vectors, or vectors with a tetracycline-regulated promoter (e.g., pcDNA™5/FRT/TO from Invitrogen). Some vectors may be obtained commercially. Non-limiting examples of useful vectors are described in Appendix 5 of Current Protocols in Molecular Biology, 1988, ed. Ausubel et al., Greene Publish. Assoc. & Wiley Interscience, which is incorporated herein by reference; and the catalogs of commercial suppliers such as Clontech Laboratories, Stratagene Inc., and Invitrogen, Inc.

Expression vectors containing a construct of the present invention can be identified by the following general approaches: (a) nucleic acid hybridization, (b) presence or absence of “marker” nucleic acid functions, (c) expression of inserted sequences, and (d) sequencing. In the first approach, the presence of a particular nucleic acid sequence inserted in an expression vector can be detected by nucleic acid hybridization using probes comprising sequences that are homologous to the inserted nucleic acid sequence. In the second approach, the recombinant vector/host system can be identified and selected based upon the presence or absence of certain “marker” nucleic acid functions (e.g., thymidine kinase activity, resistance to antibiotics, transformation phenotype, occlusion body formation in baculovirus, etc.) caused by the insertion of the nucleic acid sequence of interest in the vector. For example, if the nucleic acid sequence of interest is inserted within the marker nucleic acid sequence of the vector, recombinants containing the insert can be identified by the absence of the marker nucleic acid function. In the third approach, recombinant expression vectors can be identified by assaying the product expressed by the recombinant. Such assays can be based, for example, on the physical or functional properties of the particular nucleic acid sequence.

In a preferred embodiment, nucleic acid sequences encoding proteins, polypeptides or peptides are cloned into stable cell line expression vectors. In a preferred embodiment, the stable cell line expression vector contains a site specific genomic integration site. In another preferred embodiment, the reporter gene construct is cloned into an episomal mammalian expression vector.

5.1.5. Transfection

Once a vector encoding the appropriate gene has been synthesized, a host cell is transformed or transfected with the vector of interest. The use of stable transformants is preferred. In a preferred embodiment, the host cell is a mammalian cell. In a more preferred embodiment, the host cell is a human cell. In another embodiment, the host cells are primary cells isolated from a tissue or other biological sample of interest. Host cells that can be used in the methods of the present invention include, but are not limited to, hybridomas, pre-B cells, 293 cells, 293T cells, HeLa cells, HepG2 cells, K562 cells, 3T3 cells. In another preferred embodiment, the host cells are derived from tissue specific to the nucleic acid sequence encoding a protein, polypeptide or peptide. In another preferred embodiment, the host cells are immortalized cell lines derived from a source, e.g. a tissue. Other host cells that can be used in the present invention include, but are not limited to, bacterial cells, yeast cells, virally-infected cells, or plant cells.

Preferred mammalian host cells include but are not limited to those derived from humans, monkeys and rodents, (see, for example, Kriegler M. in “Gene Transfer and Expression: A Laboratory Manual”, New York, Freeman & Co. 1990), such as monkey kidney cell line transformed by SV40 (COS-7, ATCC Accession No. CRL 1651); human embryonic kidney cell lines (293, 293-EBNA, or 293 cells subcloned for growth in suspension culture, Graham et al., J. Gen. Virol., 36:59, 1977; baby hamster kidney cells (BHK, ATCC Accession No. CCL 10); chinese hamster ovary-cells-DHFR (CHO, Urlaub and Chasin. Proc. Natl. Acad. Sci. 77; 4216, 1980); mouse sertoli cells (Mather, Biol. Reprod. 23:243-251, 1980); mouse fibroblast cells (NIH-3T3), monkey kidney cells (CVI ATCC Accession No. CCL 70); african green monkey kidney cells (VERO-76, ATCC Accession No. CRL-1587); human cervical carcinoma cells (HELA, ATCC Accession No. CCL 2); canine kidney cells (MDCK, ATCC Accession No. CCL 34); buffalo rat liver cells (BRL 3A, ATCC Accession No. CRL 1442); human lung cells (W138, ATCC Accession No. CCL 75); human liver cells (Hep G2, HB 8065); and mouse mammary tumor cells (MMT 060562, ATCC Accession No. CCL51).

Other useful eukaryotic host-vector system may include yeast and insect systems. In yeast, a number of vectors containing constitutive or inducible promoters may be used with Saccharomyces cerevisiae (baker's yeast), Schizosaccharomyces pombe (fission yeast), Pichia pastoris, and Hansenula polymorpha (methylotropic yeasts). For a review see, Current Protocols in Molecular Biology, Vol. 2, 1988, Ed. Ausubel et al., Greene Publish. Assoc. & Wiley Interscience, Ch. 13; Grant et al., 1987, Expression and Secretion Vectors for Yeast, in Methods in Enzymology, Eds. Wu & Grossman, 1987, Acad. Press, N.Y., Vol. 153, pp. 516-544; Glover, 1986, DNA Cloning, Vol. II, IRL Press, Wash., D.C., Ch. 3; and Bitter, 1987, Heterologous Gene Expression in Yeast, Methods in Enzymology, Eds. Berger & Kimmel, Acad. Press, N.Y., Vol. 152, pp. 673-684; and The Molecular Biology of the Yeast Saccharomyces, 1982, Eds. Strathern et al., Cold Spring Harbor Press, Vols. I and II.

Standard methods of introducing a nucleic acid sequence of interest into host cells can be used. Transformation may be by any known method for introducing polynucleotides into a host cell, including, for example packaging the polynucleotide in a virus and transducing a host cell with the virus, and by direct uptake of the polynucleotide. The transformation procedure used depends upon the host to be transformed. Mammalian transformations (i.e., transfections) by direct uptake may be conducted using the calcium phosphate precipitation method of Graham & Van der Eb, 1978, Virol. 52:546, or the various known modifications thereof. Other methods for introducing recombinant polynucleotides into cells, particularly into mammalian cells, include dextran-mediated transfection, calcium phosphate mediated transfection, polybrene mediated transfection, protoplast fusion, electroporation, encapsulation of the polynucleotide(s) in liposomes, and direct microinjection of the polynucleotides into nuclei. Such methods are well-known to one of skill in the art.

In a preferred embodiment, stable cell lines containing the constructs of interest are generated for high throughput screening. Such stable cells lines may be generated by introducing a construct comprising a selectable marker, allowing the cells to grow for 1-2 days in an enriched medium, and then growing the cells on a selective medium. The selectable marker in the recombinant plasmid confers resistance to the selection and allows cells to stably integrate the plasmid into their chromosomes and grow to form foci which in turn can be cloned and expanded into cell lines.

A number of selection systems may be used, including but not limited to the herpes simplex virus thymidine kinase (Wigler, et al., 1977, Cell 11:223), hypoxanthine-guanine phosphoribosyltransferase (Szybalska & Szybalski, 1962, Proc. Natl. Acad. Sci. USA 48:2026), and adenine phosphoribosyltransferase (Lowy, et al., 1980, Cell 22:817) genes can be employed in tk-, hgprt- or aprt-cells, respectively. Also, anti-metabolite resistance can be used as the basis of selection for dhfr, which confers resistance to methotrexate (Wigler, et al., 1980, Natl. Acad. Sci. USA 77:3567; O'Hare, et al., 1981, Proc. Natl. Acad. Sci. USA 78:1527); gpt, which confers resistance to mycophenolic acid (Mulligan & Berg, 1981, Proc. Natl. Acad. Sci. USA 78:2072); neo, which confers resistance to the aminoglycoside G-418 (Colberre-Garapin, et al., 1981, J. Mol. Biol. 150:1); and hygro, which confers resistance to hygromycin (Santerre, et al., 1984, Gene 30:147) genes.

5.1.6. Cell-Free Extracts

The invention provides for the translation of a nucleic acid sequence encoding a protein, polypeptide or peptide (with or without a premature translation stop codon) in a cell-free system. Techniques for practicing the specific aspect of this invention will employ, unless otherwise indicated, conventional techniques of molecular biology, microbiology, and recombinant DNA manipulation and production, which are routinely practiced by one of skill in the art. See, e.g., Sambrook, 1989, Molecular Cloning, A Laboratory Manual, Second Edition; DNA Cloning, Volumes I and II (Glover, Ed. 1985); and Transcription and Translation (Hames & Higgins, Eds. 1984).

Any technique well-known to one of skill in the art may be used to generate cell-free extracts for translation. For example, the cell-free extracts can be generated by centrifuging cells and clarifying the supernatant. In one embodiment, the cells are incubated on ice during the preparation of the cell-free extract. In another embodiment, the cells are incubated on ice at least 12 hours, at least 24 hours, at least two days, at least five days, at least one week, at least longer than one week. In a more specific embodiment, the cells are incubated on ice at least long enough so as to improve the translation activity of the cell extract in comparison to cell extracts that are not incubated on ice. In yet another embodiment, the cells are incubated at a temperature between about 0° C. and 10° C. in a preferred embodiment, the cells are incubated at about 4° C.

In another preferred embodiment, the cells are centrifuged at a low speed to isolate the cell-free extract for in vitro translation reactions. In a preferred embodiment, the cell extract is the supernatant from cells that are centrifuged at about 2×g to 20,000×g. In a more preferred embodiment, the cell extract is the supernatant from cells that are centrifuged at about 5×g to 15,000×g. In an even more preferred embodiment, the cell extract is the supernatant from cells that are centrifuged at about 10,000×g. Alternatively, in a preferred embodiment, the cell-free extract is about the S1 to S50 extract. In a more preferred embodiment, the cell extract is about the S5 to S25 extract. In an even more preferred embodiment, the cell extract is about the S10 extract.

The cell-free translation extract may be isolated from cells of any species origin. In another embodiment, the cell-free translation extract is isolated from yeast, cultured mouse or rat cells, Chinese hamster ovary (CHO) cells, Xenopus oocytes, reticulocytes, wheat germ, or rye embryo (see, e.g., Krieg & Melton, 1984, Nature 308:203 and Dignam et al., 1990 Methods Enzymol. 182:194-203). Alternatively, the cell-free translation extract, e.g., rabbit reticulocyte lysates and wheat germ extract, can be purchased from, e.g., Promega, (Madison, Wis.). In another embodiment, the cell-free translation extract is prepared as described in International Patent Publication No. WO 01/44516 and U.S. Pat. No. 4,668,625 to Roberts, the disclosures of which are incorporated by reference in their entireties. In a preferred embodiment, the cell-free extract is an extract isolated from human cells. In a more preferred embodiment, the human cells are HeLa cells. It is preferred that the endogenous expression of the genes with the premature translation codons is minimal, and preferably absent, in the cells from which the cell-free translation extract is prepared.

Systems for the in vitro transcription of RNAs with the gene of interest cloned in an expression vectors using promoters such as, but not limited to, Sp6, T3, or T7 promoters (see, e.g., expression vectors from Invitrogen, Carlesbad, Calif.; Promega, Madison, Wis.; and Stratagene, La Jolla, Calif.), and the subsequent transcription of the gene with the appropriate polymerase are well-known to one of skill in the art (see, e.g., Contreras et al., 1982, Nucl. Acids. Res. 10:6353). In another embodiment, the gene encoding the premature stop codon can be PCR-amplified with the appropriate primers, with the sequence of a promoter, such as but not limited to, Sp6, T3, or T7 promoters, incorporated into the upstream primer, so that the resulting amplified PCR product can be in vitro transcribed with the appropriate polymerase.

Alternatively, a coupled transcription-translation system can be used for the expression of a gene encoding a premature stop codon in a cell free extract, such as the TnT® Coupled Transcription/Translation System (Promega, Madison, Wis.) or the system described in U.S. Pat. No. 5,895,753 to Mierendorf et al., which is incorporated by reference in its entirety.

5.2. Compounds

Libraries screened using the methods of the present invention can comprise a variety of types of compounds. Examples of libraries that can be screened in accordance with the methods of the invention include, but are not limited to, peptoids; random biooligomers; diversomers such as hydantoins, benzodiazepines and dipeptides; vinylogous polypeptides; nonpeptidal peptidomimetics; oligocarbamates; peptidyl phosphonates; peptide nucleic acid libraries; antibody libraries; carbohydrate libraries; and small molecule libraries (preferably, small organic molecule libraries). In some embodiments, the compounds in the libraries screened are nucleic acid or peptide molecules. In a non-limiting example, peptide molecules can exist in a phage display library. In other embodiments, the types of compounds include, but are not limited to, peptide analogs including peptides comprising non-naturally occurring amino acids, e.g., D-amino acids, phosphorous analogs of amino acids, such as α-amino phosphoric acids and α-amino phosphoric acids, or amino acids having non-peptide linkages, nucleic acid analogs such as phosphorothioates and PNAS, hormones, antigens, synthetic or naturally occurring drugs, opiates, dopamine, serotonin, catecholamines, thrombin, acetylcholine, prostaglandins, organic molecules, pheromones, adenosine, sucrose, glucose, lactose and galactose. Libraries of polypeptides or proteins can also be used in the assays of the invention. In some embodiments, the compounds are nucleic acid or peptide molecules. In a non-limiting example, peptide molecules can exist in a phage display library.

In a preferred embodiment, the combinatorial libraries are small organic molecule libraries, such as, but not limited to, benzodiazepines, isoprenoids, thiazolidinones, metathiazanones, pyrrolidines, morpholino compounds, and benzodiazepines. In another embodiment, the combinatorial libraries comprise peptoids; random bio-oligomers; benzodiazepines; diversomers such as hydantoins, benzodiazepines and dipeptides; vinylogous polypeptides; nonpeptidal peptidomimetics; oligocarbamates; peptidyl phosphonates peptide nucleic acid libraries; antibody libraries; or carbohydrate libraries. Combinatorial libraries are themselves commercially available (see, e.g., ComGenex, Princeton, N.J.; Asinex, Moscow, Ru, Tripos, Inc., St. Louis, Mo.; ChemStar, Ltd, Moscow, Russia; 3D Pharmaceuticals, Exton, Pa.; Martek Biosciences, Columbia, Md.; etc.).

In a preferred embodiment, the library is preselected so that the compounds of the library are more amenable for cellular uptake. For example, compounds are selected based on specific parameters such as, but not limited to, size, lipophilicity, hydrophilicity, and hydrogen bonding, which enhance the likelihood of compounds getting into the cells. In another embodiment, the compounds are analyzed by three-dimensional or four-dimensional computer computation programs.

In one embodiment, the combinatorial compound library for the methods of the present invention may be synthesized. There is a great interest in synthetic methods directed toward the creation of large collections of small organic compounds, or libraries, which could be screened for pharmacological, biological or other activity. The synthetic methods applied to create vast combinatorial libraries are performed in solution or in the solid phase, i.e., on a solid support. Solid-phase synthesis makes it easier to conduct multi-step reactions and to drive reactions to completion with high yields because excess reagents can be easily added and washed away after each reaction step. Solid-phase combinatorial synthesis also tends to improve isolation, purification and screening. However, the more traditional solution phase chemistry supports a wider variety of organic reactions than solid-phase chemistry.

Combinatorial compound libraries of the present invention may be synthesized using the apparatus described in U.S. Pat. No. 6,190,619 to Kilcoin et al., which is hereby incorporated by reference in its entirety. U.S. Pat. No. 6,190,619 discloses a synthesis apparatus capable of holding a plurality of reaction vessels for parallel synthesis of multiple discrete compounds or for combinatorial libraries of compounds.

In one embodiment, the combinatorial compound library can be synthesized in solution. The method disclosed in U.S. Pat. No. 6,194,612 to Boger et al., which is hereby incorporated by reference in its entirety, features compounds useful as templates for solution phase synthesis of combinatorial libraries. The template is designed to permit reaction products to be easily purified from unreacted reactants using liquid/liquid or solid/liquid extractions. The compounds produced by combinatorial synthesis using the template will preferably be small organic molecules. Some compounds in the library may mimic the effects of non-peptides or peptides. In contrast to solid phase synthesize of combinatorial compound libraries, liquid phase synthesis does not require the use of specialized protocols for monitoring the individual steps of a multistep solid phase synthesis (Egner et al., 1995, J. Org. Chem. 60:2652; Anderson et al., 1995, J. Org. Chem. 60:2650; Fitch et al., 1994, J. Org. Chem. 59:7955; Look et al., 1994, J. Org. Chem. 49:7588; Metzger et al., 1993, Angew. Chem., Int. Ed. Engl. 32:894; Youngquist et al., 1994, Rapid Commun. Mass Spect. 8:77; Chu et al., 1995, J. Am. Chem. Soc. 117:5419; Brummel et al., 1994, Science 264:399; Stevanovic et al., 1993, Bioorg. Med. Chem. Lett. 3:431).

Combinatorial compound libraries useful for the methods of the present invention can be synthesized on solid supports. In one embodiment, a split synthesis method, a protocol of separating and mixing solid supports during the synthesis, is used to synthesize a library of compounds on solid supports (see e.g., Lam et al., 1997, Chem. Rev. 97:41-448; Ohlmeyer et al., 1993, Proc. Natl. Acad. Sci. USA 90:10922-10926 and references cited therein). Each solid support in the final library has substantially one type of compound attached to its surface. Other methods for synthesizing combinatorial libraries on solid supports, wherein one product is attached to each support, will be known to those of skill in the art (see, e.g., Nefzi et al., 1997, Chem. Rev. 97:449-472).

As used herein, the term “solid support” is not limited to a specific type of solid support. Rather a large number of supports are available and are known to one skilled in the art. Solid supports include silica gels, resins, derivatized plastic films, glass beads, cotton, plastic beads, polystyrene beads, alumina gels, and polysaccharides. A suitable solid support may be selected on the basis of desired end use and suitability for various synthetic protocols. For example, for peptide synthesis, a solid support can be a resin such as p-methylbenzhydrylamine (pMBHA) resin (Peptides International, Louisville, Ky.), polystyrenes (e.g., PAM-resin obtained from Bachem Inc., Peninsula Laboratories, etc.), including chloromethylpolystyrene, hydroxymethylpolystyrene and aminomethylpolystyrene, poly(dimethylacrylamide)-grafted styrene co-divinyl-benzene (e.g., POLYHIPE resin, obtained from Aminotech, Canada), polyamide resin (obtained from Peninsula Laboratories), polystyrene resin grafted with polyethylene glycol (e.g., TENTAGEL or ARGOGEL, Bayer, Tubingen, Germany) polydimethylacrylamide resin (obtained from Milligen/Biosearch, California), or Sepharose (Pharmacia, Sweden).

In some embodiments of the present invention, compounds can be attached to solid supports via linkers. Linkers can be integral and part of the solid support, or they may be nonintegral that are either synthesized on the solid support or attached thereto after synthesis. Linkers are useful not only for providing points of compound attachment to the solid support, but also for allowing different groups of molecules to be cleaved from the solid support under different conditions, depending on the nature of the linker. For example, linkers can be, inter alia, electrophilically cleaved, nucleophilically cleaved, photocleavable, enzymatically cleaved, cleaved by metals, cleaved under reductive conditions or cleaved under oxidative conditions. In a preferred embodiment, the compounds are cleaved from the solid support prior to high throughput screening of the compounds.

In certain embodiments of the invention, the compound is a small molecule.

5.3. Reporter Gene-Based Screening Assays

Various in vitro assays can be used to identify and verify the ability of a compound to modulate premature translation termination and/or nonsense-mediated mRNA decay. Multiple in vitro assays can be performed simultaneously or sequentially to assess the affect of a compound on premature translation termination and/or nonsense-mediated mRNA decay. In a preferred embodiment, the in vitro assays described herein are performed in a high throughput format (e.g., in microtiter plates).

5.3.1. Cell-Based Assays

After a vector containing the reporter gene construct and/or a vector(s) containing a nucleic acid sequence comprising a regulatory protein, a component or a subunit thereof is transformed or transfected into a host cell and a compound library is synthesized or purchased or both, the cells are used to screen the library to identify compounds that modulate premature translation termination and/or nonsense-mediated mRNA decay. The reporter gene-based assays may be conducted by contacting a compound or a member of a library of compounds with a cell (e.g., a genetically engineered cell) containing a reporter gene construct comprising a reporter gene containing within the open reading frame of the reporter gene a premature stop codon or nonsense mutation; and measuring the expression and/or activity of the reporter gene. The reporter gene cell-based assays may also be conducted by: (a) contacting a compound with a cell containing a first nucleic acid sequence and a second nucleic acid sequence, wherein the first nucleic acid sequence comprises a regulatory element operably linked to a reporter gene and the second nucleic acid sequence comprises a nucleotide sequence with a premature stop codon or nonsense mutation that encodes a regulatory protein that binds to the regulatory element of the first nucleic acid sequence and regulates the expression of the reporter gene; and (b) measuring the expression and/or activity of the reporter gene.

The reporter gene cell-based assays may also be conducted by: (a) contacting a compound with a cell containing a first nucleic acid sequence, a second nucleic acid sequence and a third nucleic acid sequence, wherein (i) the first nucleic acid sequence comprises a nucleotide sequence encoding a first fusion protein comprising a DNA binding domain and a first protein, the nucleotide sequence of the DNA binding domain or the first protein containing a premature stop codon or nonsense mutation, (ii) the second nucleic acid sequence comprises a nucleotide sequence encoding a second fusion protein comprising an activation domain and a second protein, the second protein interacting with the first protein to produce a regulatory protein, and (iii) the third nucleic acid sequence comprises a regulatory element operably linked to a reporter gene, the expression of the reporter gene being regulated by the binding of the regulatory protein to the regulatory element: and (b) measuring the expression and/or activity of the reporter gene. Further, the reporter gene cell-based assays may also be conducted by: (a) contacting a compound with a cell containing a first nucleic acid sequence, a second nucleic acid sequence and a third nucleic acid sequence, wherein (i) the first nucleic acid sequence comprises a nucleotide sequence encoding a first fusion protein comprising a DNA binding domain and a first protein, (ii) the second nucleic acid sequence comprises a nucleotide sequence encoding a second fusion protein comprising an activation domain and a second protein, the nucleotide sequence of the activation domain or the second protein containing a premature stop codon, and the second protein interacting with the first protein to produce a premature stop codon or nonsense mutation, and (iii) the third nucleic acid sequence comprises a regulatory element operably linked to a reporter gene, the expression of the reporter gene being regulated by the binding of the regulatory protein to the regulatory element: and (b) measuring the expression and/or activity of the reporter gene.

The alteration in reporter gene expression and/or activity in the reporter gene cell-based assays relative to a previously determined reference range, or to the expression or activity of the reporter gene in the absence of the compound or the presence of an appropriate control (e.g., a negative control such as phosphate buffered saline) indicates that a particular compound modulates premature translation termination and/or nonsense-mediated mRNA decay. In particular, an increase in reporter gene expression or activity relative to a previously determined reference range, or to the expression in the absence of the compound or the presence of an appropriate control (e.g., a negative control) may, depending upon the parameters of the reporter gene assay, indicate that a particular compound reduces or suppresses premature translation termination and/or nonsense-mediated mRNA decay. In contrast, a decrease in reporter gene expression or activity relative to a previously determined reference range, or to the expression in the absence of the compound or the presence of an appropriate control (e.g., a negative control) may, depending upon the parameters of the reporter gene-based assay, indicate that a particular compound enhances premature translation termination and/or nonsense-mediated mRNA decay.

The step of contacting a compound or a member of a library of compounds with cell in the reporter gene-based assays described herein is preferably conducted under physiologic conditions. In specific embodiment, a compound or a member of a library of compounds is added to the cells in the presence of an aqueous solution. In accordance with this embodiment, the aqueous solution may comprise a buffer and a combination of salts, preferably approximating or mimicking physiologic conditions. Alternatively, the aqueous solution may comprise a buffer, a combination of salts, and a detergent or a surfactant. Examples of salts which may be used in the aqueous solution include, but not limited to, KCl, NaCl, and/or MgCl₂. The optimal concentration of each salt used in the aqueous solution is dependent on the cells and compounds used and can be determined using routine experimentation. The step of contacting a compound or a member of a library of compounds with a cell containing a reporter gene construct and in some circumstances, a nucleic acid sequence encoding a regulatory protein, may be performed for at least 0.2 hours, 0.25 hours, 0.5 hours, 1 hour, 2 hours, 3 hours, 4 hours, 5 hours, 6 hours, 8 hours, 10 hours, 12 hours, 18 hours, at least 1 day, at least 2 days or at least 3 days.

The expression of a reporter gene and/or activity of the protein encoded by the reporter gene in the cell-based reporter-gene assays may be detected by any technique well-known to one of skill in the art. The expression of a reporter gene can be readily detected, e.g., by quantifying the protein and/or RNA encoded by said gene. Compounds that modulate premature translation termination and/or nonsense-mediated mRNA decay may be identified by changes in the gene encoding the premature translation stop codon, i.e., there is readthrough of the premature translation stop codon and a longer gene product is detected. If a gene encoding a naturally-occurring premature translation stop codon is used, a longer gene product in the presence of a compound that modulates premature translation termination and/or nonsense-mediated mRNA decay can be detected by any method in the art permits the detection of the longer polypeptide, such as, but not limited to, immunological methods.

Many methods standard in the art can be thus employed, including, but not limited to, immunoassays to detect and/or visualize gene expression (e.g., Western blot, immunoprecipitation followed by sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE), immunocytochemistry, radioimmunoassays, ELISA (enzyme linked immunosorbent assay), “sandwich” immunoassays, immunoprecipitation assays, precipitin reactions, gel diffusion precipitin reactions, immunodiffusion assays, agglutination assays, complement-fixation assays, immunoradiometric assays, fluorescent immunoassays, protein A immunoassays, or an epitope tag using an antibody that is specific to the polypeptide encoded by the gene of interest) and/or hybridization assays to detect gene expression by detecting and/or visualizing respectively mRNA encoding a gene (e.g., Northern assays, dot blots, in situ hybridization, etc), etc. Preferably, the antibody is specific to the C-terminal portion of the polypeptide used in an immunoassay. Such assays are routine and well known in the art (see, e.g., Ausubel et al, eds, 1994, Current Protocols in Molecular Biology, Vol. 1, John Wiley & Sons, Inc., New York, which is incorporated by reference herein in its entirety). Exemplary immunoassays are described briefly below (but are not intended by way of limitation).

Immunoprecipitation protocols generally comprise lysing a population of cells in a lysis buffer such as RIPA buffer (1% NP-40 or Triton X-100, 1% sodium deoxycholate, 0.1% SDS, 0.15 M NaCl, 0.01 M sodium phosphate at pH 7.2, 1% Trasylol) supplemented with protein phosphatase and/or protease inhibitors (e.g., EDTA, PMSF, aprotinin, sodium vanadate), adding the antibody which recognizes the antigen to the cell lysate, incubating for a period of time (e.g., 1 to 4 hours) at 40° C., adding protein A and/or protein G sepharose beads to the cell lysate, incubating for about an hour or more at 40° C., washing the beads in lysis buffer and resuspending the beads in SDS/sample buffer. The ability of the antibody to immunoprecipitate a particular antigen can be assessed by, e.g., western blot analysis. One of skill in the art would be knowledgeable as to the parameters that can be modified to increase the binding of the antibody to an antigen and decrease the background (e.g., pre-clearing the cell lysate with sepharose beads). For further discussion regarding immunoprecipitation protocols see, e.g., Ausubel et al, eds, 1994, Current Protocols in Molecular Biology, Vol. 1, John Wiley & Sons, Inc., New York at 10.16.1.

Western blot analysis generally comprises preparing protein samples, electrophoresis of the protein samples in a polyacrylamide gel (e.g., 8%-20% SDS-PAGE depending on the molecular weight of the antigen), transferring the protein sample from the polyacrylamide gel to a membrane such as nitrocellulose, PVDF or nylon, blocking the membrane in blocking solution (e.g., PBS with 3% BSA or non-fat milk), washing the membrane in washing buffer (e.g., PBS-Tween 20), blocking the membrane with primary antibody (the antibody which recognizes the antigen) diluted in blocking buffer, washing the membrane in washing buffer, blocking the membrane with a secondary antibody (which recognizes the primary antibody, e.g., an anti-human antibody) conjugated to an enzymatic substrate (e.g., horseradish peroxidase or alkaline phosphatase) or radioactive molecule (e.g., ³²P or ¹²⁵I) diluted in blocking buffer, washing the membrane in wash buffer, and detecting the presence of the antigen. One of skill in the art would be knowledgeable as to the parameters that can be modified to increase the signal detected and to reduce the background noise. For further discussion regarding western blot protocols see, e.g., Ausubel et al, eds, 1994, Current Protocols in Molecular Biology, Vol. 1, John Wiley & Sons, Inc., New York at 10.8.1.

ELISAs comprise preparing antigen, coating the well of a 96 well microtiter plate with the antigen, adding a primary antibody (which recognizes the antigen) conjugated to a detectable compound such as an enzymatic substrate (e.g., horseradish peroxidase or alkaline phosphatase) to the well and incubating for a period of time, and detecting the presence of the antigen. In ELISAs the antibody of interest does not have to be conjugated to a detectable compound; instead, a second antibody (which recognizes the primary antibody) conjugated to a detectable compound may be added to the well. Further, instead of coating the well with the antigen, the antibody may be coated to the well. In this case, a second antibody conjugated to a detectable compound may be added following the addition of the antigen of interest to the coated well. One of skill in the art would be knowledgeable as to the parameters that can be modified to increase the signal detected as well as other variations of ELISAs known in the art. For further discussion regarding ELISAs see, e.g., Ausubel et al, eds, 1994, Current Protocols in Molecular Biology, Vol. 1, John Wiley & Sons, Inc., New York at 11.2.1.

Methods for detecting the activity of a protein encoded by a reporter gene will vary with the reporter gene used. Assays for the various reporter genes are well-known to one of skill in the art. For example, as described in Section 5.1.1., luciferase, beta-galactosidase (“beta-gal”), beta-glucoronidase (“GUS”), beta-lactamase, chloramphenicol acetyltransferase (“CAT”), and alkaline phosphatase (“AP”) are enzymes that can be analyzed in the presence of a substrate and could be amenable to high throughput screening. For example, the reaction products of luciferase, beta-galactosidase (“beta-gal”), and alkaline phosphatase (“AP”) are assayed by changes in light imaging (e.g., luciferase), spectrophotometric absorbance (e.g., beta-gal), or fluorescence (e.g., AP). Assays for changes in light output, absorbance, and/or fluorescence are easily adapted for high throughput screening. For example, beta-gal activity can be measured with a microplate reader. Green fluorescent protein (“GFP”) activity can be measured by changes in fluorescence. For example, in the case of mutant GFPs that fluoresce at 488 nm, standard fluorescence activated cell sorting (“FACS”) equipment can be used to separate cells based upon GFP activity.

Changes in mRNA stability of the gene encoding the premature translation stop codon can be measured. As discussed above, nonsense-mediated mRNA decay alters the stability of an mRNA with a premature translation stop codon so that such mRNA is targeted for rapid decay instead of translation. In the presence of a compound that modulates premature translation termination and/or nonsense-mediated mRNA decay, the stability of the mRNA with the premature translation stop codon is likely altered, i.e., stabilized. Methods of measuring changes in steady state levels of mRNA are well-known to one of skill in the art. Such methods include, but are not limited to, Northern blots, dot blots, solution hybridization, RNase protection assays, and S1 nuclease protection assays, wherein the steady state levels of the mRNA of interest are measured with an appropriately labeled nucleic acid probe. Alternatively, methods such as semi-quantitative polymerase chain reaction (“PCR”) can be used to measure changes in steady state levels of the mRNA of interest using the appropriate primers for amplification.

Alterations in the expression of a reporter gene may be determined by comparing the level of expression and/or activity of the reporter gene to a negative control (e.g., PBS or another agent that is known to have no effect on the expression of the reporter gene) and optionally, a positive control (e.g., an agent that is known to have an effect on the expression of the reporter gene, preferably an agent that effects premature translation termination and/or nonsense-mediated mRNA decay). Alternatively, alterations in the expression and/or activity of a reporter gene may be determined by comparing the level of expression and/or activity of the reporter gene to a previously determined reference range.

5.3.2. Cell-Free Extracts

After a vector containing the reporter gene construct and/or a vector(s) containing a nucleic acid sequence comprising a regulatory protein, a component or a subunit thereof is produced, a cell-free translation extract is generated or purchased, and a compound library in synthesized or purchased or both, the cell-free translation extract and nucleic acid sequences are used to screen the library to identify compounds that modulate premature translation termination and/or nonsense-mediated mRNA decay. The reporter gene-based assays may be conducted in a cell-free manner by contacting a compound with a cell-free extract and a reporter gene construct comprising a reporter gene containing within the open reading frame of the reporter gene a premature stop codon or nonsense mutation, and measuring the expression and/or activity of said reporter gene. The reporter gene cell-free assays may also be conducted by contacting a compound with a cell-free extract and an in vitro transcribed RNA of a reporter gene, wherein the RNA product contains a premature stop codon or a nonsense mutation and measuring the expression and or activity of the protein encoded by the RNA product. Techniques for in vitro transcription are well-known to one of skill in the art or described herein (see, e.g. the Example in section 7). The reporter gene cell-free assays may also be conducted by: (a) contacting a compound with a cell-free extract, a first nucleic acid sequence and a second nucleic acid sequence, wherein the first nucleic acid sequence comprises a regulatory element operably linked to a reporter gene and the second nucleic acid sequence comprises a nucleotide sequence with a premature stop codon or nonsense mutation that encodes a regulatory protein that binds to the regulatory element of the first nucleic acid sequence and regulates the expression of the reporter gene; and (b) measuring the expression and/or activity of the reporter gene.

The reporter gene cell-free assays may also be conducted by: (a) contacting a compound with a cell-free extract, a first nucleic acid sequence, a second nucleic acid sequence and a third nucleic acid sequence, wherein (i) the first nucleic acid sequence comprises a nucleotide sequence encoding a first fusion protein comprising a DNA binding domain and a first protein, the nucleotide sequence of the DNA binding domain or the first protein containing a premature stop codon or nonsense mutation, (ii) the second nucleic acid sequence comprises a nucleotide sequence encoding a second fusion protein comprising an activation domain and a second protein, the second protein interacting with the first protein to produce a regulatory protein, and (iii) the third nucleic acid sequence comprises a regulatory element operably linked to a reporter gene, the expression of the reporter gene being regulated by the binding of the regulatory protein to the regulatory element: and (b) measuring the expression and/or activity of the reporter gene. Further, the reporter gene cell-free assays may also be conducted by: (a) contacting a compound with a cell-free extract, a first nucleic acid sequence, a second nucleic acid sequence and a third nucleic acid sequence, wherein (i) the first nucleic acid sequence comprises a nucleotide sequence encoding a first fusion protein comprising a DNA binding domain and a first protein, (ii) the second nucleic acid sequence comprises a nucleotide sequence encoding a second fusion protein comprising an activation domain and a second protein, the nucleotide sequence of the activation domain or the second protein containing a premature stop codon or nonsense mutation, and the second protein interacting with the first protein to produce a regulatory protein, and (iii) the third nucleic acid sequence comprises a regulatory element operably linked to a reporter gene, the expression of the reporter gene being regulated by the binding of the regulatory protein to the regulatory element: and (b) measuring the expression and/or activity of the reporter gene.

In the cell-free reporter gene assays described herein, the alteration in reporter gene expression or activity relative to a previously determined reference range, or to the expression or activity of the reporter gene in the absence of the compound or the presence of an appropriate control (e.g., a negative control) indicates that a particular compound modulates premature translation termination and/or nonsense-mediated mRNA decay. In particular, an increase in reporter gene expression or activity relative to a previously determined reference range, or to the expression in the absence of the compound or the presence of an appropriate control (e.g., a negative control) may, depending upon the parameters of the reporter gene assay, indicate that a particular compound reduces or suppresses premature translation termination and/or nonsense-mediated mRNA decay. In contrast, a decrease in reporter gene expression or activity relative to a previously determined reference range, or to the expression in the absence of the compound or the presence of an appropriate control (e.g., a negative control) may, depending upon the parameters of the reporter gene-based assay, indicate that a particular compound enhances premature translation termination and/or nonsense-mediated mRNA decay.

In accordance with the invention, the step of contacting a compound with a cell-free extract and a nucleic acid sequence in the reporter gene-based assays described herein is preferably conducted in an aqueous solution comprising a buffer and a combination of salts (such as KCl, NaCl and/or MgCl₂). The optimal concentration of each salt used in the aqueous solution is dependent on, e.g., the protein, polypeptide or peptide encoded by the nucleic acid sequence (e.g., the regulatory protein) and the compounds used, and can be determined using routine experimentation. In a specific embodiment, the aqueous solution approximates or mimics physiologic conditions. In another specific embodiment, the aqueous solution further comprises a detergent or a surfactant.

The cell-reporter gene assays of the present invention can be performed using different incubation times. The cell-free extract and the nucleic acid sequence(s) (e.g., a reporter gene) can be incubated together before the addition of a compound or a member of a library of compounds. In certain embodiments, the cell-free extract are incubated with a nucleic acid sequence(s) (e.g., a reporter gene) before the addition of a compound or a member of a library of compounds for at least 0.2 hours, 0.25 hours, 0.5 hours, 1 hour, 2 hours, 3 hours, 4 hours, 5 hours, 6 hours, 8 hours, 10 hours, 12 hours, 18 hours, or at least 1 day. In other embodiments, the cell-free extract, or the nucleic acid sequence(s) (e.g., a reporter gene) is incubated with a compound or a member of a library of compounds before the addition of the nucleic acid sequence(s) (e.g., a reporter gene), or the cell-free extract, respectively. In certain embodiments, a compound or a member of a library of compounds is incubated with a nucleic acid sequence(s) (e.g., a reporter gene) or cell-free extract before the addition of the remaining component, i.e., cell-free extract, or a nucleic acid sequence(s) (e.g., a reporter gene), respectively, for at least 0.2 hours, 0.25 hours, 0.5 hours, 1 hour, 2 hours, 3 hours, 4 hours, 5 hours, 6 hours, 8 hours, 10 hours, 12 hours, 18 hours, or at least 1 day. Once the reaction vessel comprises the components, i.e., a compound or a member of a library of compounds, the cell-free extract and the nucleic acid sequence(s) (e.g., a reporter gene), the reaction may be further incubated for at least 0.2 hours, 0.25 hours, 0.5 hours, 1 hour, 2 hours, 3 hours, 4 hours, 5 hours, 6 hours, 8 hours, 10 hours, 12 hours, 18 hours, or at least 1 day.

The progress of the reaction in the cell-free reporter gene-based assays can be measured continuously. Alternatively, time-points may be taken at different times of the reaction to monitor the progress of the reaction in the cell-free reporter gene-based assays.

The activity of a compound in the cell-free extract can be determined by assaying the activity of a reporter protein encoded by a reporter gene, or alternatively, by quantifying the expression of the reporter gene by, for example, labeling the in vitro translated protein (e.g., with ³⁵S-labeled methionine), northern blot analysis, RT-PCR or by immunological methods, such as western blot analysis or immunoprecipitation. Such methods are well-known to one of skill in the art. Examples of assays which can be used to measure the expression and/or activity of a reporter gene are described in Section 5.3.1 supra.

5.4. Characterization of the Structure of Compounds

If the library comprises arrays or microarrays of compounds, wherein each compound has an address or identifier, the compound can be deconvoluted, e.g., by cross-referencing the positive sample to original compound list that was applied to the individual test assays.

If the library is a peptide or nucleic acid library, the sequence of the compound can be determined by direct sequencing of the peptide or nucleic acid. Such methods are well known to one of skill in the art.

A number of physico-chemical techniques can be used for the de novo characterization of compounds that mediate premature translation termination and/or nonsense-mediated mRNA decay.

5.4.1. Mass Spectrometry

The invention provides, in part, for mass spectrometry methods to identify or characterize the compounds of the invention. Any mass spectrometric method can be used, for example, those employing an ionizer, ion analyzer and detector.

A number of techniques can be used in order to ionize a sample for invetigative or characterization purposes. Such techniques form the charged particles required for analysis. Examples of ionization methods include, but are not limited to, electron impact, chemical ionization, electrospray ionization, fast atom bombardment and matrix assisted laser desorption ionization. The technique used for ionization will depend on the type of analyte being examined and the conditions necessary for acquisition. For example, electron impact and chemical ionization would be preferred with a relatively small volatile sample with a mass of 1 to 1000 daltons; electrospray ionzation would be preferred with peptides, proteins and non-volatile samples with a mass of up to 200,000 daltons, fast atom bombardment would be preferred with carbohydrates, organometallics, peptides and nonvolatile compounds and matrix assisted laser desorption ionization would be preferred when examining peptides, proteins and nucleotides.

A number of ion analysis techniques can be used, in particular those where molecular ions and fragment ions are accelerated by manipulation of charged particles through the mass spectrometer. Such analyzers include, but are not limited to, quadropole, sector (magnetic and/or electrostatic), time of flight (TOF), and ion cyclotron resonance (ICR). The technique used for analysis would depend on the sample and the conditions for acquisition. For example, one might prefer quadropole when desiring a unit mass resolution, fast scan time, and low cost; one might prefer a sector analyzer when desiring high resolution and an exact mass; one might prefer time of flight when desiring no limitation for m/z maximum and a high throughput; and one might prefer ion cyclotron resonance when desining very high resolution an exact mass and also to perform ion chemistry.

Any ionizer method can be combined with any ion analyzer technique. There are many types of detectors that may be used as part of the mass spectrophotometric methods of the invention, in particular those that produce an electronic signal when struck by an ion. Calibration would be necessarily performed by introducing a well known compound into the instrument and adjusting the circuits so that the compound's molecular ion and fragment ions are reported accurately.

Mass spectrometry (e.g., electrospray ionization (“ESI”) and matrix-assisted laser desorption-ionization (“MALDI”), Fourier-transform ion cyclotron resonance (“FT-ICR”) can be used both for high-throughput screening of compounds that bind to a target RNA and elucidating the structure of the compound.

MALDI uses a pulsed laser for desorption of the ions and a time-of-flight analyzer, and has been used for the detection of noncovalent tRNA:amino-acyl-tRNA synthetase complexes (Gruic-Sovulj et al., 1997, J. Biol. Chem. 272:32084-32091). However, covalent cross-linking between the target nucleic acid and the compound is required for detection, since a non-covalently bound complex may dissociate during the MALDI process.

ESI mass spectrometry (“ESI-MS”) has been of greater utility for studying non-covalent molecular interactions because, unlike the MALDI process, ESI-MS generates molecular ions with little to no fragmentation (Xavier et al., 2000, Trends Biotechnol. 18(8):349-356). ESI-MS has been used to study the complexes formed by HIV Tat peptide and protein with the TAR RNA (Sannes-Lowery et al., 1997, Anal. Chem. 69:5130-5135).

Fourier-transform ion cyclotron resonance (“FT-ICR”) mass spectrometry provides high-resolution spectra, isotope-resolved precursor ion selection, and accurate mass assignments (Xavier et al., 2000, Trends Biotechnol. 18(8):349-356). FT-ICR has been used to study the interaction of aminoglycoside antibiotics with cognate and non-cognate RNAs (Hofstadler et al., 1999, Anal. Chem. 71:3436-3440; Griffey et al., 1999, Proc. Natl. Acad. Sci. USA 96:10129-10133). As true for all of the mass spectrometry methods discussed herein, FT-ICR does not require labeling of the target RNA or a compound.

An advantage of mass spectroscopy is not only the elucidation of the structure of a compound, but also the determination of the structure of the compound bound to a target RNA. Such information can enable the discovery of a consensus structure of a compound that specifically binds to a target RNA.

5.4.2. NMR Spectroscopy

The invention provides, in part, NMR spectroscopic techniques that may be used, for example, to characterize and identify small and large molecules of the invention. NMR methods are advantageous in understanding characteristics of the compounds of the invention because it allows rapid acquisition of single and multi-dimensional structural data about a compound in solution. Moreover, the NMR technique is a non-destructive technique that also provides dynamic information relating to a compound's behavior in complex or in association with other molecules of interest. There are a variety of techniques that can be used to examine compounds of the invention using NMR methods. In particular, any type of NMR spectrometer can be used, including, but not limited to, those of low, medium and high magnetic field. In a preferred embodiment, the NMR spectrometer that is used has a high magnetic field, in particular, if the compound has a high molecular weight, such as, those greater than 1000 daltons.

Any technique known in the art can be used to acquire data on the compounds and also to produce spectra for interpretation, including, but not limited to, those that measure through bond correlations and through space correlations. Both single and multi-dimensional spectra can be produced. In another embodiment, the technique that is used is homonuclear. In yet another embodiment, the technique is heteronuclear. In one embodiment of the invention, correlation spectroscopy, e.g., COSY or TOCSY, methods are used to measure through bond correlations. In another embodiment of the invention, nuclear overhauser effect spectroscopy methods, e.g., NOESY, are used to measure through space correlations. In yet another embodiment of the invention, multi-dimensional methods are used to identify relationships between heterologous nucleii, e.g., heteronuclear single quantum coherence (HSQC) and heteronuclear multiple quantum coherence (HMQC).

In another embodiment of the invention, NMR methods are used to characterize compounds that are associated with other molecules. For example, complexed target nucleic acids can be examined by qualitatively determining changes in chemical shift, specifically from distances measured using relaxation effects, and NMR-based approaches have been used in the identification of small molecule binders of protein drug targets (Xavier et al., 2000, Trends Biotechnol. 18(8):349-356). The determination of structure-activity relationships (“SAR”) by NMR is the first method for NMR described in which small molecules that bind adjacent subsites are identified by two-dimentional ¹H-¹⁵N spectra of the target protein (Shuker et al., 1996, Science 274:1531-1534). The signal from the bound molecule is monitored by employing line broadening, transferred NOEs and pulsed field gradient diffusion measurements (Moore, 1999, Curr. Opin. Biotechnol. 10:54-58). A strategy for lead generation by NMR using a library of small molecules has been recently described (Fejzo et al., 1999, Chem. Biol. 6:755-769).

Other examples of NMR methods that can be used for the invention include, but are not limited to, one-dimensional, two-dimensional, three dimension, four dimensional NMR methods as well as correlation spectroscopy (“COSY”), and nuclear Overhauser effect (“NOE”) spectroscopy. Such methods of structure determination of compounds are well known to one of skill in the art.

Similar to mass spectroscopy, an advantage of NMR is the not only the elucidation of the structure of a compound, but also the determination of the structure of the compound bound to the target RNA. Such information can enable the discovery of a consensus structure of a compound that specifically binds to a target RNA.

5.4.3. X-ray Crystallography

X-ray crystallography can be used to elucidate the structure of a compound. For a review of x-ray crystallography see, e.g., Blundell et al. 2002, Nat Rev Drug Discov 1(1):45-54. The first step in x-ray crystallography is the formation of crystals. The formation of crystals begins with the preparation of highly purified and soluble samples. The conditions for crystallization is then determined by optimizing several solution variables known to induce nucleation, such as pH, ionic strength, temperature, and specific concentrations of organic additives, salts and detergent. Techniques for automating the crystallization process have been developed to automate the production of high-quality protein crystals. Once crystals have been formed, the crystals are harvested and prepared for data collection. The crystals are then analyzed by diffraction (such as multi-circle diffractometers, high-speed CCD detectors, and detector off-set). Generally, multiple crystals must be screened for structure determinations.

A number of methods can be used to acquire a diffraction patter so that a compound can be characterized. In one embodiment, an X-ray source is provided, for example, by a rotating anode generator producing an X-ray beam of a characteristic wavelength. There are a number of sources of X-ray radiation that may be used in the methods of the invention, including low and high intensity radiation. In one example, the tunable X-ray radiation is produced by a Synchrotron. In another embodiment, the primary X-ray beam is monochromated by either crystal monochromators or focusing mirrors and the beam is passed through a helium flushed collimator. In a preferred embodiment, the crystal is mounted on a pin on a goniometer head, that is mounted to a goniometer which allows to position the crystal in different orientations in the beam. The diffracted X-rays can be recorded using a number of techniques, including, but not limited to image plates, multiwire detectors or CCD cameras. In other embodiments, flash cooling, for example, of protein crystals, to cryogenic temperatures (˜100 K) offers many advantages, the most significant of which is the elimination of radiation damage.

5.4.4. Vibrational Spectrscopy

Vibrational spectroscopy (e.g., but not limited to, infrared (IR) spectroscopy or Raman spectroscopy) can be used for elucidating the structure of a compound.

Infrared spectroscopy measures the frequencies of infrared light (wavelengths from 100 to 10,000 nm) absorbed by the compound as a result of excitation of vibrational modes according to quantum mechanical selection rules which require that absorption of light cause a change in the electric dipole moment of the molecule. The infrared spectrum of any molecule is a unique pattern of absorption wavelengths of varying intensity that can be considered as a molecular fingerprint to identify or characterize any compound.

Infrared spectra can be measured in a scanning mode by measuring the absorption of individual frequencies of light, produced by a grating which separates frequencies from a mixed-frequency infrared light source, by the compound relative to a standard intensity (double-beam instrument) or pre-measured (‘blank’) intensity (single-beam instrument). In a preferred embodiment, infrared spectra are measured in a pulsed mode (“FT-IR”) where a mixed beam, produced by an interferometer, of all infrared light frequencies is passed through or reflected off the compound. The resulting interferogram, which may or may not be added with the resulting interferograms from subsequent pulses to increase the signal strength while averaging random noise in the electronic signal, is mathematically transformed into a spectrum using Fourier Transform or Fast Fourier Transform algorithms.

Raman spectroscopy measures the difference in frequency due to absorption of infrared frequencies of scattered visible or ultraviolet light relative to the incident beam. The incident monochromatic light beam, usually a single laser frequency, is not truly absorbed by the compound but interacts with the electric field transiently. Most of the light scattered off the sample will be unchanged (Rayleigh scattering) but a portion of the scatter light will have frequencies that are the sum or difference of the incident and molecular vibrational frequencies. The selection rules for Raman (inelastic) scattering require a change in polarizability of the molecule. While some vibrational transitions are observable in both infrared and Raman spectrometry, must are observable only with one or the other technique. The Raman spectrum of any molecule is a unique pattern of absorption wavelengths of varying intensity that can be considered as a molecular fingerprint to identify any compound.

Raman spectra are measured by submitting monochromatic light to the sample, either passed through or preferably reflected off, filtering the Rayleigh scattered light, and detecting the frequency of the Raman scattered light. An improved Raman spectrometer is described in U.S. Pat. No. 5,786,893 to Fink et al., which is hereby incorporated by reference.

Vibrational microscopy can be measured in a spatially resolved fashion to address single beads by integration of a visible microscope and spectrometer. A microscopic infrared spectrometer is described in U.S. Pat. No. 5,581,085 to Reffner et al., which is hereby incorporated by reference in its entirety. An instrument that simultaneously performs a microscopic infrared and microscopic Raman analysis on a sample is described in U.S. Pat. No. 5,841,139 to Sostek et al., which is hereby incorporated by reference in its entirety.

In one embodiment of the method, compounds are synthesized on polystyrene beads doped with chemically modified styrene monomers such that each resulting bead has a characteristic pattern of absorption lines in the vibrational (IR or Raman) spectrum, by methods including but not limited to those described by Fenniri et al., 2000, J. Am. Chem. Soc. 123:8151-8152. Using methods of split-pool synthesis familiar to one of skill in the art, the library of compounds is prepared so that the spectroscopic pattern of the bead identifies one of the components of the compound on the bead. Beads that have been separated according to their ability to bind target RNA can be identified by their vibrational spectrum. In one embodiment of the method, appropriate sorting and binning of the beads during synthesis then allows identification of one or more further components of the compound on any one bead. In another embodiment of the method, partial identification of the compound on a bead is possible through use of the spectroscopic pattern of the bead with or without the aid of further sorting during synthesis, followed by partial resynthesis of the possible compounds aided by doped beads and appropriate sorting during synthesis.

In another embodiment, the IR or Raman spectra of compounds are examined while the compound is still on a bead, preferably, or after cleavage from bead, using methods including but not limited to photochemical, acid, or heat treatment. The compound can be identified by comparison of the IR or Raman spectral pattern to spectra previously acquired for each compound in the combinatorial library.

5.5. Naturally Occurring Genes with Premature Stop Codons: Examples of Disorders and Diseases

The invention provides for naturally occurring genes with premature stop codons to ascertain the effects of compounds on premature translation termination and/or nonsense-mediated mRNA decay. In general, the expression of the gene product, in particular, a full-length gene product, is indicative of the effect of the compounds on premature translation termination and/or nonsense-mediated mRNA decay.

In a preferred embodiment, the naturally occurring genes with premature stop codons are genes that cause diseases which are due, in part, to the lack of expression of the gene resulting from the premature stop codon. Such diseases include, but are not limited to, cystic fibrosis, muscular dystrophy, heart disease (e.g., familial hypercholesterolemia), p53-associated cancers (e.g., lung, breast, colon, pancreatic, non-Hodgkin's lymphoma, ovarian, and esophageal cancer), colorectal carcinomas, neurofibromatosis, retinoblastoma, Wilm's tumor, retinitis pigmentosa, collagen disorders (e.g., osteogenesis imperfecta and cirrhosis), Tay Sachs disease, blood disorders (e.g., hemophilia, von Willebrand disease, b-Thalassemia), kidney stones, ataxia-telangiectasia, lysosomal storage diseases, and tuberous sclerosis. Genes involved in the etiology of these diseases are discussed below.

The recognition of translation termination signals is not necessarily limited to a simple trinucleotide stop codon, but is instead recognized by the sequences surrounding the stop codon in addition to the stop codon itself (see, e.g., Manuvakhova et al., 2000, RNA 6(7):1044-1055, which is hereby incorporated by reference in its entirety). Thus, any genes containing particular tetranucleotide sequences at the stop codon, such as, but not limited to, UGAC, UAGU, UAGC, UAGG, UAGA, UGAA, UGAG, UGAU, UAAC, UAAU, UAAG, and UAAA, are candidates of naturally occurring genes with premature stop codons that are useful in the present invention. Human disease genes that contain these particular sequence motifs are sorted by chromosome is presented as an Example in Section 8.

5.5.1. Cystic Fibrosis

Cystic fibrosis is caused by mutations in the cystic fibrosis conductance regulator (“CFTR”) gene. Such mutations vary between populations and depend on a multitude of factors such as, but not limited to, ethnic background and geographic location. Nonsense mutation in the CFTR gene are expected to produces little or not CFTR chloride channels. Several nonsense mutations in the CFTR gene have been identified (see, e.g., Tzetis et al., 2001, Hum Genet. 109(6):592-601. Strandvik et al., 2001, Genet Test. 5(3):235-42; Feldmann et al., 2001, Hum Mutat. 17(4):356; Wilschanski et al., 2000, Am J Respir Crit Care Med. 161(3 Pt 1):860-5; Castaldo et al., 1999, Hum Mutat. 14(3):272; Mittre et al., 1999, Hum Mutat. 14(2):182; Mickle et al., 1998, Hum Mol Genet. 7(4):729-35; Casals et al., 1997, Hum Genet. 101(3):365-70; Mittre et al., 1996, Hum Mutat. 8(4):392-3; Bonizzato et al., 1995, Hum Genet. 1995 April; 95(4):397-402; Greil et al., 1995, Wien Klin Wochenschr. 107(15):464-9; Zielenski et al., 1995, Hum Mutat. 5(1):43-7; Dork et al., 1994, Hum Genet. 94(5):533-42; Balassopoulou et al., 1994, Hum Mol Genet. 3(10):1887-8; Ghanem et al., 1994, 21(2):434-6; Will et al., J Clin Invest. 1994 April; 93(4):1852-9; Hull et al., 1994, Genomics. 1994 Jan. 15; 19(2):362-4; Dork et al., 1994, Hum Genet. 93(1):67-73; Rolfini & Cabrini, 1993, J Clin Invest. 92(6):2683-7; Will et al., 1993, J Med Genet. 30(10):833-7; Bienvenu et al., 1993, J Med Genet. 30(7):621-2; Cheadle et al., 1993, Hum Mol Genet. 2(7):1067-8; Casals et al., 1993, Hum Genet. 91(1):66-70; Reiss et al., 1993, Hum Genet. 91(1):78-9; Chevalier-Porst et al., 1992, Hum Mol Genet. 1(8):647-8; Hamosh et al., 1992, Hum Mol Genet. 1(7):542-4; Gasparini et al., 1992, J Med Genet. 29(8):558-62; Fanen et al., 1992, Genomics. 13(3):770-6; Jones et al., 1992, Hum Mol Genet. 1(1): 11-7; Ronchetto et al., 1992, Genomics. 12(2):417-8; Macek et al., 1992, Hum Mutat. 1(6):501-2; Shoshani et al., 1992, Am J Hum Genet. 50(1):222-8; Schloesser et al., 1991, J Med Genet. 28(12):878-80; Hamosh et al., 1991, J Clin Invest. 88(6):1880-5; Bal et al., 1991, J Med Genet. 28(10):715-7; Dork et al., 1991, Hum Genet. 87(4):441-6; Beaudet et al., 1991, Am J Hum Genet. 48(6):1213; Gasparini et al., 1991, Genomics. 10(1):193-200; Cutting et al., 1990, N Engl J Med. 1990, 323(24):1685-9; and Kerem et al., 1990, Proc Natl Acad Sci USA. 87(21):8447-51, the disclosures of which are hereby incorporated by reference in their entireties). Any CFTR gene encoding a premature translation codon including, but not limited to, the nonsense mutations described in the references cited above, can be used in the present invention to identify compounds that mediate premature translation termination and/or nonsense-mediated mRNA decay.

5.5.2. Muscular Dystrophy

Muscular dystrophy is a genetic disease characterized by severe, progressive muscle wasting and weakness. Duchenne muscular dystrophy and Becker muscular dystrophy are generally caused by nonsense mutations of the dystrophin gene (see, e.g., Kerr et al., 2001, Hum Genet. 109(4):402-7 and Wagner et al., 2001, Ann Neurol. 49(6):706-11). Nonsense mutations in other genes have also been implicated in other types of muscular dystrophy, such as, but not limited to, collagen genes in Ullrich congenital muscular dystrophy (see, e.g., Demir et al., 2002, Am J Hum Genet. 70(6):1446-58), the emerin gene and lamins genes in Emery-Dreifuss muscular dystrophy (see, e.g., Holt et al., 2001, Biochem Biophys Res Commun. 287(5):1129-33; Becane et al., 2000, Pacing Clin Electrophysiol. 23(11 Pt 1):1661-6; and Bonne et al., 2000, Ann Neurol. 48(2):170-80.), the dysferlin gene in Miyoshi myopathy (see, e.g., Nakagawa et al., 2001, J Neurol Sci. 184(1):15-9), the plectin gene in late onset muscular dystrophy (see, e.g., Bauer et al., 2001, Am J Pathol. 158(2):617-25), the delta-sarcoglycan gene in recessive limb-girdle muscular dystrophy (see, e.g., Duggan et al., 1997, Neurogenetics. 1(1):49-58), the laminina2-chain gene in congenital muscular dystrophy (see, e.g., Mendell et al., 1998, Hum Mutat. 12(2): 135), the plectin gene in late-onset muscular dystrophy (see, e.g., Rouan et al., 2000, J Invest Dermatol. 114(2):381-7 and Kunz et al., 2000, J Invest Dermatol. 114(2):376-80), the myophosphorylase gene in McArdle's disease (see, e.g., Bruno et al., 1999, Neuromuscul Disord. 9(1):34-7), and the collagen VI in Bethlem myopathy (see, e.g. Lamande et al., 1998, Hum Mol Genet. 1998 June; 7(6):981-9).

Several nonsense mutations in the dystrophin gene have been identified (see, e.g., Kerr et al., 2001, Hum Genet. 109(4):402-7; Mendell et al., 2001, Neurology 57(4):645-50; Fajkusova et al., 2001, Neuromuscul Disord. 11(2):133-8; Ginjaar et al., 2000, Eur J Hum Genet. 8(10):793-6; Lu et al., 2000, J. Cell Biol. 148(5):985-96; Tuffery-Giraud et al., 1999, Hum Mutat. 14(5):359-68; Fajkusova et al., 1998, J Neurogenet. 12(3):183-9; Tuffery et al., 1998, Hum Genet. 102(3):334-42; Shiga et al., 1997, J Clin Invest. 100(9):2204-10; Winnard et al., 1995, Am J Hum Genet. 56(1):158-66; Prior et al., 1994, Am J Med Genet. 50(1):68-73; Prior et al., 1993, Hum Mol Genet. 2(3):311-3; Prior et al., 1993, Hum Mutat. 2(3):192-5; Nigro et al., 1992, Hum Mol Genet. 1(7):517-20; Worton, 1992, J Inherit Metab Dis. 15(4):539-50; and Bulman et al., 1991, Genomics. 10(2):457-60; the disclosures of which are hereby incorporated by reference in their entireties). Any gene encoding a premature translation codon implicated in muscular dystrophy including, but not limited to, the nonsense mutations described in the references cited above, can be used in the present invention to identify compounds that mediate premature translation termination and/or nonsense-mediated mRNA decay.

5.5.3. Familial Hypercholesterolemia

Hypercholesterolemia, or high blood cholesterol, results from either the overproduction or the underutilization of low density lipoprotein (“LDL”). Hypercholesterolemia is caused by either the genetic disease familial hypercholesterolemia or the consumption of a high cholesterol diet. Nonsense mutations in the LDL receptor gene have been implicated in familial hypercholesterolemia. Several nonsense mutations in the LDL receptor gene have been identified (see, e.g., Lind et al., 2002, Atherosclerosis 163(2):399-407; Salazar et al., 2002, Hum Mutat. 19(4):462-3; Kuhrova et al., 2002, Hum Mutat. 19(1):80; Zakharova et al., 2001, Bioorg Khim. 27(5):393-6; Kuhrova et al., 2001, Hum Mutat. 18(3):253; Genschel et al., 2001, Hum Mutat. 17(4):354; Weiss et al., 2000, J Inherit Metab Dis. 23(8):778-90; Mozas et al., 2000, Hum Mutat. 15(5):483-4; Shin et al., 2000, Clin Genet. 57(3):225-9; Graham et al., 1999, Atherosclerosis 147(2):309-16; Hattori et al., 1999, Hum Mutat. 14(1):87; Cenarro et al., 1998, Hum Mutat. 11(5):413; Rodningen et al., 1999, Hum Mutat. 13(3):186-96; Hirayama et al., 1998, J Hum Genet. 43(4):250-4; Lind et al., 1998, J Intern Med. 244(1):19-25; Thiart et al., 1997, Mol Cell Probes 11(6):457-8; Maruyama et al., 1995, Arterioscler Thromb Vasc Biol. 15(10):1713-8; Koivisto et al., 1995, Am J Hum Genet. 57(4):789-97; Lombardi et al., 1995, J Lipid Res. 36(4):860-7; Leren et al., 1993, Hum Genet. 92(1):6-10; Landsberger et al., 1992, Am J Hum Genet. 50(2):427-33; Loux et al., 1992, Hum Mutat. 1992; 1(4):325-32; Motulsky, 1989, Arteriosclerosis. 9(1 Suppl):13-7; Lehrman et al., 1987, J Biol. Chem. 262(1):401-10; and Lehrman et al., 1985, Cell 41(3):735-43; the disclosures of which are hereby incorporated by reference in their entireties). Any LDL receptor gene encoding a premature translation codon including, but not limited to, the nonsense mutations described in the references cited above, can be used in the present invention to identify compounds that mediate premature translation termination and/or nonsense-mediated mRNA decay.

5.5.4. p53-associated Cancers

Mutant forms of the p53 protein, which is thought to act as a negative regulator of cell proliferation, transformation, and tumorigenesis, have been implicated as a common genetic change characteristic of human cancer (see, e.g., Levine et al., 1991, Nature 351:453-456 and Hollstein et al., 1991, Science 253:49-53). p53 mutations have been implicated in cancers such as, but not limited to, lung cancer, breast cancer, colon cancer, pancreatic cancer, non-Hodgkin's lymphoma, ovarian cancer, and esophageal cancer.

Nonsense mutations have been identified in the p53 gene and have been implicated in cancer. Several nonsense mutations in the p53 gene have been identified (see, e.g., Masuda et al., 2000, Tokai J Exp Clin Med. 25(2):69-77; Oh et al., 2000, Mol Cells 10(3):275-80; Li et al., 2000, Lab Invest. 80(4):493-9; Yang et al., 1999, Zhonghua Zhong Liu Za Zhi 21(2):114-8; Finkelstein et al., 1998, Mol Diagn. 3(37-41; Kajiyama et al., 1998, Dis Esophagus. 11(4):279-83; Kawamura et al., 1999, Leuk Res. 23(2):115-26; Radig et al., 1998, Hum Pathol. 29(11):1310-6; Schuyer et al., 1998, Int J Cancer 76(3):299-303; Wang-Gohrke et al., 1998, Oncol Rep. 5(1):65-8; Fulop et al., 1998, J Reprod Med. 43(2):119-27; Ninomiya et al., 1997, J Dermatol Sci. 14(3):173-8; Hsieh et al., 1996, Cancer Lett. 100(1-2):107-13; Rall et al., 1996, Pancreas. 12(1):10-7; Fukutomi et al., 1995, Nippon Rinsho. 53(11):2764-8; Frebourg et al., 1995, Am J Hum Genet. 56(3):608-15; Dove et al., 1995, Cancer Surv. 25:335-55; Adamson et al., 1995, Br J Haematol. 89(1):61-6; Grayson et al., 1994, Am J Pediatr Hematol Oncol. 16(4):341-7; Lepelley et al., 1994, Leukemia. 8(8):1342-9; McIntyre et al., 1994, J Clin Oncol. 12(5):925-30; Horio et al., 1994, Oncogene. 9(4):1231-5; Nakamura et al., 1992, Jpn J Cancer Res. 83(12):1293-8; Davidoff et al., 1992, Oncogene. 7(1):127-33; and Ishioka et al., 1991, Biochem Biophys Res Commun. 177(3):901-6; the disclosures of which are hereby incorporated by reference in their entireties). Any p53 gene encoding a premature translation codon including, but not limited to, the nonsense mutations described in the references cited above, can be used in the present invention to identify compounds that mediate premature translation termination and/or nonsense-mediated mRNA decay.

5.5.5. Colorectal Carcinomas

Molecular genetic abnormalities resulting in colorectal carcinoma involve tumor-suppressor genes that undergo inactivation (such as, but not limited to, apc, mcc, dcc, p53, and possibly genes on chromosomes 8p, 1p, and 22q) and dominant-acting oncogenes (such, but not limited to, ras, src, and myc) (see, e.g., Hamilton, 1992, Cancer 70(5 Suppl):1216-21). Nonsense mutations in the adenomatous polyposis coli (“APC”) gene and mismatch repair genes (such as, but not limited to, mlh1 and msh2) have also been described. Nonsense mutations have been implicated in colorectal carcinomas (see, e.g., Viel et al., 1997, Genes Chromosomes Cancer. 18(1):8-18; Akiyama et al., 1996, Cancer 78(12):2478-84; Itoh & Imai, 1996, Hokkaido Igaku Zasshi 71(1):9-14; Kolodner et al., 1994, Genomics. 24(3):516-26; Ohue et al., 1994, Cancer Res. 54(17):4798-804; and Yin et al., 1993, Gastroenterology. 104(6):1633-9; the disclosures of which are hereby incorporated by reference in their entireties). Any gene encoding a premature translation codon implicated in colorectal carcinoma including, but not limited to, the nonsense mutations described in the references cited above, can be used in the present invention to identify compounds that mediate premature translation termination and/or nonsense-mediated mRNA decay.

5.5.6. Neurofibromatosis

Neurofibromatosis is an inherited disorder, which is commonly caused caused by mutations in the NF1 and NF2 tumor suppressor genes. It is characterized by multiple intracranial tumors including schwannomas, meningiomas, and ependymomas. Nonsense mutations in the NF1 and NF2 genes have been described. Nonsense mutations have been implicated in neurofibromatosis (see, e.g., Lamszus et al., 2001, Int J Cancer 91(6):803-8; Sestini et al., 2000, Hum Genet. 107(4):366-71; Fukasawa et al., 2000, Jpn J Cancer Res. 91(12):1241-9; Park et al., 2000, J Hum Genet. 45(2):84-5; Ueki et al., 1999, Cancer Res. 59(23):5995-8; 1999, Hokkaido Igaku Zasshi. 74(5):377-86; Buske et al., 1999, Am J Med Genet. 86(4):328-30; Harada et al., 1999, Surg Neurol. 51(5):528-35; Krkljus et al., 1998, Hum Mutat. 11(5):411; Klose et al., 1999, Am J Med Genet. 83(1):6-12; Park & Pivnick, 1998, J Med Genet. 35(10):813-20; Bahuau et al., 1998, Am J Med Genet. 75(3):265-72; Bijlsma et al., 1997, J Med Genet. 34(11):934-6; MacCollin et al., 1996, Ann Neurol. 40(3):440-5; Upadhyaya et al., 1996, Am J Med Genet. 67(4):421-3; Robinson et al., 1995, Hum Genet. 96(1):95-8; Legius et al., 1995, J Med Genet. 32(4):316-9; von Deimling et al., 1995, Brain Pathol. 5(1):11-4; Dublin et al., 1995, Hum Mutat. 5(1):81-5; Legius et al., 1994, Genes Chromosomes Cancer. 10(4):250-5; Purandare et al., 1994, Hum Mol Genet. 3(7):1109-15; Shen & Upadhyaya, 1993, Hum Genet. 92(4):410-2; and Estivill et al., 1991, Hum Genet. 88(2):185-8; the disclosures of which are hereby incorporated by reference in their entireties). Any gene encoding a premature translation codon implicated in neurofibromatosis including, but not limited to, the nonsense mutations described in the references cited above, can be used in the present invention to identify compounds that mediate premature translation termination and/or nonsense-mediated mRNA decay.

5.5.7. Retinoblastoma

The retinoblastoma gene plays important roles in the genesis of human cancers. Several pieces of evidence have shown that the retinoblastoma protein has dual roles in gating cell cycle progression and promoting cellular differentiation (see, e.g., Lee & Lee, 1997, Gan To Kagaku Ryoho 24(11):1368-80 for a review). Nonsense mutations in the RB1 gene have been described. Nonsense mutations have been implicated in retinoblastoma (see, e.g., Klutz et al., 2002, Am J Hum Genet. 71(1):174-9; Alonso et al., 2001, Hum Mutat. 17(5):412-22; Wong et al., 2000, Cancer Res. 60(21):6171-7; Harbour, 1998, Ophthalmology 105(8):1442-7; Fulop et al., 1998, J Reprod Med. 43(2):119-27; Onadim et al., 1997, Br J Cancer 76(11):1405-9; Lohmann et al., 1997, Ophthalmologe 94(4):263-7; Cowen & Cragg, 1996, Eur J Cancer. 32A(10): 1749-52; Lohmann et al., 1996, Am J Hum Genet. 58(5):940-9; Shapiro et al., 1995, Cancer Res. 55(24):6200-9; Huang et al., 1993, Cancer Res. 53(8):1889-94; and Cheng & Haas, 1990, Mol Cell Biol. 10(10):5502-9; the disclosures of which are hereby incorporated by reference in their entireties). Any gene encoding a premature translation codon implicated in retinoblastoma including, but not limited to, the nonsense mutations described in the references cited above, can be used in the present invention to identify compounds that mediate premature translation termination and/or nonsense-mediated mRNA decay.

5.5.8. Wilm's Tumor

Wilm's tumor, or nephroblastoma, is an embryonal malignancy of the kidney that affects children. Nonsense mutations in the WT1 gene have been implicated in Wilm's tumor. Several nonsense mutations in the WT1 have been identified (see, e.g., Nakadate et al., 1999, Genes Chromosomes Cancer 25(1):26-32; Diller et al., 1998, J Clin Oncol. 16(11):3634-40; Schumacher et al., 1997, Proc Natl Acad Sci USA. 94(8):3972-7; Coppes et al., 1993, Proc Natl Acad Sci USA. 90(4):1416-9; and Little et al., 1992, Proc Natl Acad Sci USA. 89(11):4791-5; the disclosures of which are hereby incorporated by reference in their entireties). Any WT1 gene encoding a premature translation codon including, but not limited to, the nonsense mutations described in the references cited above, can be used in the present invention to identify compounds that mediate premature translation termination and/or nonsense-mediated mRNA decay.

5.5.9. Retinitis Pigmentosa

Retinitis pigmentosa is a genetic disease in which affected individuals develop progressive degeneration of the rod and cone photoreceptors. Retinitis pigmentosa cannot be explained by a single genetic defect but instead the hereditary aberration responsible for triggering the onset of the disease is localized in different genes and at different sites within these genes (reviewed in, e.g., Kohler et al., 1997, Klin Monatsbl Augenheilkd 211(2):84-93). Nonsense mutations have been implicated in retinitis pigmentosa (see, e.g., Ching et al., 2002, Neurology 58(11):1673-4; Zhang et al., 2002, Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 19(3): 194-7; Zhang et al., 2002, Hum Mol Genet. 1;11(9):993-1003; Dietrich et al., 2002, Br J Ophthalmol. 86(3):328-32; Grayson et al., 2002, J Med Genet. 39(1):62-7; Liu et al., 2001, Zhonghua Yi Xue Za Zhi 81(2):71-2; Damji et al., 2001, Can J Ophthalmol. 36(5):252-9; Berson et al., 2001, Invest Ophthalmol Vis Sci. 42(10):2217-24; Chan et al., 2001, Br J Ophthalmol. 85(9):1046-8; Baum et al., 2001, Hum Mutat. 17(5):436; Mashima et al., 2001, Ophthalmic Genet. 22(1):43-7; Zwaenepoel et al., 2001, Hum Mutat. 2001; 17(1):34-41; Bork et al., 2001, Am J Hum Genet. 68(1):26-37; Sharon et al., 2000, Invest Ophthalmol Vis Sci. 41(9):2712-21; Dreyer et al., 2000, Eur J Hum Genet. 8(7):500-6; Liu et al., 2000, Hum Mutat. 15(6):584; Wang et al., 1999, Exp Eye Res. 69(4); Bowne et al., 1999, Hum Mol Genet. 8(11):2121-8; Guillonneau et al., 1999, Hum Mol Genet. 8(8):1541-6; Dryja et al., 1999, Invest Ophthalmol Vis Sci. 40(8):1859-65; Sullivan et al., 1999, Nat Genet. 22(3):255-9; Pierce et al., 1999, Nat Genet. 22(3):248-54; Janecke et al., 1999, Hum Mutat. 13(2):133-40; Cuevas et al., 1998, Mol Cell Probes 12(6):417-20; Schwahn et al., 1998, Nat Genet. 19(4):327-32; Buraczynska et al., 1997, Am J Hum Genet. 61(6):1287-92; Meindl et al., 1996, Nat Genet. 13(1):35-42; Keen et al., 1996, Hum Mutat. 8(4):297-303; Dryja et al., 1995, Proc Natl Acad Sci USA. 92(22):10177-81; Apfelstedt-Sylla et al., 1995, Br J Ophthalmol. 79(1):28-34; Bayes et al., 1995, Hum Mutat. 5(3):228-34; Shastry, 1994, Am J Med Genet. 52(4):467-74; Gal et al., 1994, Nat Genet. 7(1):64-8; Sargan et al., 1994, Gene Ther. 1 Suppl 1:S89; McLaughlin et al., 1993, Nat Genet. 4(2):130-4; Rosenfeld et al., 1992, Nat Genet. 1(3):209-13; the disclosures of which are hereby incorporated by reference in their entireties). Any gene encoding a premature translation codon implicated in retinitis pigmentosa including, but not limited to, the nonsense mutations described in the references cited above, can be used in the present invention to identify compounds that mediate premature translation termination and/or nonsense-mediated mRNA decay.

5.5.10. Osteogenesis Imperfecta

Osteogenesis imperfecta is a heterogeneous disorder of type I collagen resulting in varying degrees of severity and results from mutations the genes that encode the proalpha chains of type I collagen. Nonsense mutations have been implicated in the genes that encode the proalpha chains of type I collagen (“COLA1” genes) (see, e.g., Slayton et al., 2000, Matrix Biol. 19(1):1-9; Bateman et al., 1999, Hum Mutat. 13(4):311-7; and Willing et al., 1996, Am J Hum Genet. 59(4):799-809; the disclosures of which are hereby incorporated by reference in their entireties). Any COLA1 gene encoding a premature translation codon including, but not limited to, the nonsense mutations described in the references cited above, can be used in the present invention to identify compounds that mediate premature translation termination and/or nonsense-mediated mRNA decay.

5.5.11. Cirrhosis

Cirrhosis generally refers to a chronic liver disease that is marked by replacement of normal tissue with fibrous tissue. The multidrug resistance 3 gene has been implicated in cirrhosis, and nonsense mutations have been identified in this gene (see, e.g.,

Jacquenin et al., 2001, Gastroenterology. 2001 May; 120(6):1448-58; the disclosure of which is hereby incorporated by reference in its entirety). Any gene involved in cirrhosis encoding a premature translation codon including, but not limited to, the nonsense mutations described in the reference cited above, can be used in the present invention to identify compounds that mediate premature translation termination and/or nonsense-mediated mRNA decay.

5.5.12. Tay Sachs Disease

Tay Sachs disease is an autosomal recessive disorder affecting the central nervous system. The disorder results from mutations in the gene encoding the alpha-subunit of beta-hexosaminidase A, a lysosomal enzyme composed of alpha and beta polypeptides. Several nonsense mutations have been implicated in Tay Sachs disease (see, e.g., Rajavel & Neufeld, 2001, Mol Cell Biol. 21(16):5512-9; Myerowitz, 1997, Hum Mutat. 9(3):195-208; Akli et al., 1993, Hum Genet. 90(6):614-20; Mules et al., 1992, Am J Hum Genet. 50(4):834-41; and Akli et al., 1991, Genomics. 11(1):124-34; the disclosures of which are hereby incorporated by reference in their entireties). Any hexosaminidase gene encoding a premature translation codon including, but not limited to, the nonsense mutations described in the references cited above, can be used in the present invention to identify compounds that mediate premature translation termination and/or nonsense-mediated mRNA decay.

5.5.13. Blood Disorders

Hemophilia is caused by a deficiency in blood coagulation factors. Affected individuals are at risk for spontaneous bleeding into organs and treatment usually consists of administration of clotting factors. Hemophilia A is caused by a deficiency of blood coagulation factor VIII and hemophilia B is caused by a deficiency in blood coagulation factor IX. Nonsense mutations in the genes encoding coagulation factors have been implicated in hemophilia (see, e.g., Dansako et al., 2001, Ann Hematol 80(5):292-4; Moller-Morlang et al., 1999, Hum Mutat. 13(6):504; Kamiya et al., 1998, Rinsho Ketsueki 39(5):402-4; Freson et al., 1998, Hum Mutat. 11(6):470-9; Kamiya et al., 1995, Int J Hematol. 62(3):175-81; Walter et al., 1994, Thromb Haemost. 72(1):74-7; Figueiredo, 1993, Braz J Med Biol Res. 26(9):919-31; Reiner & Thompson, 1992, Hum Genet. 89(1):88-94; Koeberl et al., 1990, Hum Genet. 84(5):387-90; Driscoll et al., 1989, Blood. 74(2):737-42; Chen et al., 1989, Am J Hum Genet. 44(4):567-9; Mikami et al., 1988, Jinrui Idengaku Zasshi. 33(4):409-15; Gitschier et al., 1988, Blood 72(3):1022-8; and Sommer et al., 1987, Mayo Clin Proc. 62(5):387-404; the disclosures of which are hereby incorporated by reference in their entireties). Any gene encoding a premature translation codon implicated in hemophilia including, but not limited to, the nonsense mutations described in the references cited above, can be used in the present invention to identify compounds that mediate premature translation termination and/or nonsense-mediated mRNA decay.

Von Willebrand disease is a single-locus disorder resulting from a deficiency of von Willebrand factor: a multimeric multifunctional protein involved in platelet adhesion and platelet-to-platelet cohesion in high shear stress vessels, and in protecting from proteolysis and directing circulating factor VIII to the site of injury (reviewed in Rodeghiero, 2002, Haemophilia. 8(3):292-300). Nonsense mutations have implicated in von Willehbrand disease (see, e.g., Rodeghiero, 2002, Haemophilia. 8(3):292-300; Enayat et al., 2001, Blood 98(3):674-80; Surdhar et al., 2001, Blood 98(1):248-50; Casana et al., 2000, Br J Haematol. 111(2):552-5; Baronciani et al., 2000, Thromb Haemost. 84(4):536-40; Fellowes et al., 2000, Blood 96(2):773-5; Waseem et al., 1999, Thromb Haemost. 81(6):900-5; Mohlke et al., 1999, Int J Clin Lab Res. 29(1):1-7; Rieger et al., 1998, Thromb Haemost. 80(2):332-7; Kenny et al., 1998, Blood 92(1):175-83; Mazurier et al., 1998, Ann Genet. 41(1):34-43; Hagiwara et al., 1996, Thromb Haemost. 76(2):253-7; Mazurier & Meyer, 1996, Baillieres Clin Haematol. 9(2):229-41; Schneppenheim et al., 1994, Hum Genet. 94(6):640-52; Zhang et al., 1994, Genomics 21(1):188-93; Ginsburg & Sadler, 1993, Thromb Haemost. 69(2):177-84; Eikenboom et al., 1992, Thromb Haemost. 68(4):448-54; Zhang et al., 1992, Am J Hum Genet. 51(4):850-8; Zhang et al., 1992, Hum Mol Genet. 1(1):61-2; and Mancuso et al., 1991, Biochemistry 30(1):253-69; the disclosures of which are hereby incorporated by reference in their entireties). Any gene encoding a premature translation codon implicated in von Willebrand disease including, but not limited to, the nonsense mutations described in the references cited above, can be used in the present invention to identify compounds that mediate premature translation termination and/or nonsense-mediated mRNA decay.

β thalassemia is caused by a deficiency in beta globin polypeptides which in turn causes a deficiency in hemoglobin production. Nonsense mutations have been implicated in b thalassemia (see, e.g., El-Latif et al., 2002, Hemoglobin 26(1):33-40; Sanguansermsri et al., 2001, Hemoglobin 25(1):19-27; Romao 2000, Blood 96(8):2895-901; Perea et al., 1999, Hemoglobin 23(3):231-7; Rhodes et al., 1999, Am J Med Sci. 317(5):341-5; Fonseca et al., 1998, Hemoglobin 22(3)197-207; Gasperini et al., 1998, Am J Hematol. 1998 January; 57(1):43-7; Galanello et al., 1997, Br J Haematol. 99(2):433-6; Pistidda et al., 1997, Eur J Haematol. 58(5):320-5; Oner et al., 1997, Br J Haematol. 96(2):229-34; Yasunaga et al., 1995, Intern Med. 34(12):1198-200; Molina et al., 1994, Sangre (Barc) 39(4):253-6; Chang et al., 1994, Int J Hematol. 59(4):267-72; Gilman et al., 1994, Am J Hematol. 45(3):265-7; Chan et al., 1993, Prenat Diagn. 13(10):977-82; George et al., 1993, Med J Malaysia 48(3):325-9; Divoky et al., 1993, Br J Haematol. 83(3):523-4; Fioretti et al., 1993, Hemoglobin 17(1):9-17; Rosatelli et al., 1992, Am J Hum Genet. 50(2):422-6; Moi et al., 1992, Blood 79(2):512-6; Loudianos et al., 1992, Hemoglobin 16(6):503-9; Fukumaki, 1991, Rinsho Ketsueki 32(6):587-91; Cao et al., 1991, Am J Pediatr Hematol Oncol. 13(2):179-88; Galanello et al., 1990, Clin Genet. 38(5):327-31; Liu, 1990, Zhongguo Yi Xue Ke Xue Yuan Xue Bao 12(2):90-5; Aulehla-Scholz et al., 1990, Hum Genet. 84(2):195-7; Cao et al., 1990, Ann N Y Acad. Sci. 612:215-25; Sanguansermsri et al., 1990, Hemoglobin 14(2):157-68; Galanello et al., 1989, Blood 74(2):823-7; Rosatelli et al., 1989, Blood 73(2):601-5; Galanello et al., 1989, Prog Clin Biol Res. 316B:113-21; Galanello et al., 1988, Am J Hematol. 29(2):63-6; Chan et al., 1988, Blood 72(4):1420-3; Atweh et al., 1988, J Clin Invest. 82(2):557-61; Masala et al., 1988, Hemoglobin 12(5-6):661-71; Pirastu et al., 1987, Proc Natl Acad Sci USA 84(9):2882-5; Kazazian et al., 1986, Am J Hum Genet. 38(6):860-7; Cao et al., 1986, Prenat Diagn. 6(3):159-67; Cao et al., 1985, Ann Y Acad. Sci. 1985; 445:380-92; Pirastu et al., 1984, Science 223(4639):929-30; Pirastu et al., 1983, N Engl J. Med. 309(5):284-7; Trecartin et al., 1981, J Clin Invest. 68(4):1012-7; and Liebhaber et al., 1981, Trans Assoc Am Physicians 94:88-96; the disclosures of which are hereby incorporated by reference in their entireties). Any gene encoding a premature translation codon implicated in b thalassemia including, but not limited to, the nonsense mutations described in the references cited above, can be used in the present invention to identify compounds that mediate premature translation termination and/or nonsense-mediated mRNA decay.

5.5.14. Kidney Stones

Kidney stones (nephrolithiasis), which affect 12% of males and 5% of females in the western world, are familial in 45% of patients and are most commonly associated with hypercalciuria (see, e.g., Lloyd et al., Nature 1996 Feb. 1; 379(6564):445-9). Mutations of the renal-specific chloride channel gene are associated with hypercalciuric nephrolithiasis (kidney stones). Nonsense mutations have been implicated in kidney stones (see, e.g., Hoopes et al., 1998, Kidney Int. 54(3):698-705; Lloyd et al., 1997, Hum Mol Genet. 6(8): 1233-9, Lloyd et al., 1996, Nature 379(6564):445-9; and Pras et al., 1995, Am J Hum Genet. 56(6):1297-303; the disclosures of which are hereby incorporated by reference in their entireties). Any gene encoding a premature translation codon implicated in kidney stones including, but not limited to, the nonsense mutations described in the references cited above, can be used in the present invention to identify compounds that mediate premature translation termination and/or nonsense-mediated mRNA decay.

5.5.15. Ataxia-Telangiectasia

Ataxia-telangiectasia is characterized by increased sensitivity to ionizing radiation, increased incidence of cancer, and neurodegeneration and is generally caused by mutations in the ataxia-telangiectasia gene (see, e.g., Barlow et al., 1999, Proc Natl Acad Sci USA 96(17):9915-9). Nonsense mutations have been implicated in ataxia-telangiectasia (see, e.g., Camacho et al., 2002, Blood 99(1):238-44; Pitts et al., 2001, Hum Mol Genet. 10(11):1155-62; Laake et al., 2000, Hum Mutat. 16(3):232-46; Li & Swift, 2000, Am J Med Genet. 92(3):170-7; Teraoka et al., 1999, Am J Hum Genet. 64(6):1617-31; and Stoppa-Lyonnet et al, 1998, Blood 91(10):3920-6; the disclosures of which are hereby incorporated by reference in their entireties). Any gene encoding a premature translation codon implicated in ataxia-telangiectasia including, but not limited to, the nonsense mutations described in the references cited above, can be used in the present invention to identify compounds that mediate premature translation termination and/or nonsense-mediated mRNA decay.

5.5.16. Lysosomal Storage Diseases

There are more than 40 individually recognized lysosomal storage disorders. Each disorder results from a deficiency in the activity of a specific enzyme, which impedes the lysosome from carrying out its normal degradative role. These include but are not limited to the diseases listed subsequently. Aspartylglucosaminuria is caused by a deficiency of N-aspartyl-beta-glucosaminidase (Fisher et al., 1990, FEBS Lett. 269:440-444); cholesterol ester storage disease (Wolman disease) is caused by mutations in the LIPA gene (Fujiyama et al., 1996, Hum. Mutat. 8:377-380); mutations in the CTNS gene are associated with cystinosis (Town et al., 1998, Nature Genet. 18:319-324); mutations in a-galactosidase A are associated with Fabry disease (Eng et al., 1993, Pediat. Res. 33:128A; Sakuraba et al., 1990, Am. J. Hum. Genet. 47:784-789; Davies et al., 1993, Hum. Molec. Genet. 2:1051-1053; Miyamura et al., 1996, J. Clin. Invest. 98:1809-1817); fucosidosis is caused by mutations in the FUCA1 gene (Kretz et al., 1989, J. Molec. Neurosci. 1:177-180; Yang et al., 1992, Biochem. Biophys. Res. Commun. 189:1063-1018; Seo et al., 1993, Hum. Molec. Genet. 2:1205-1208); mucolipidosis type I results from mutations in the NEU1 gene (Bonten et al., 1996, Genes Dev. 10:3156-3169); mucolipidosis type IV results from mutations in the MCOLN1 gene (Bargal et al., 2000, Nature Genet. 26:120-123; Sun et al., 2000, Hum. Molec. Genet. 9:2471-2478); Mucopolysaccharidosis type I (Hurler syndrome) is caused by mutations in the IDUA gene (Scott et al., 1992, Genomics 13:1311-1313; Bach et al., 1993, Am. J. Hum. Genet. 53:330-338); Mucopolysaccharidosis type II (Hunter syndrome) is caused by mutations in the IDS gene (Sukegawa et al., 1992, Biochem. Biophys. Res. Commun. 183:809-813; Bunge et al., 1992 Hum. Molec. Genet. 1:335-339; Flomen et al., 1992, Genomics 13:543-550); mucopolysaccharidosis type 25IIIB (Sanfilippo syndrome type A) is caused by mutations in the SGSH gene (Yogalingam et al., 2001, Hum. Mutat. 18:264-281); mucopolysaccharidosis type IIB (Sanfilippo syndrome) is caused by mutations in the NAGLU gene (Zhao et al., 1996, Proc. Nat. Acad. Sci. 93:6101-6105; Zhao et al., 1995, Am. J. Hum. Genet. 57:A185); mucopolysaccharidosis type IIID is caused by mutations in the glucosamine-6-sulfatase (G6S) gene (Robertson et al., 1988, Hum. Genet. 79:175-178); mucopolysaccharidosis type IVA (Morquio syndrome) is caused by mutations in the GALNS gene (Tomatsu et al., 1995, Am. J. Hum. Genet. 57:556-563; Tomatsu et al., 1995, Hum. Mutat. 6:195-196); mucopolysaccharidosis type VI (Maroteaux-Lamysyndrome) is caused by mutations in the ARSB gene (Litjens et al., 1992, Hum. Mutat. 1:397-402; Isbrandt et al., 1996, Hum. Mutat. 7:361-363); mucopolysaccharidosis type VII (Sly syndrome) is caused by mutations in the beta-glucuronidase (GUSB) gene (Yamada et al., 1995, Hum. Molec. Genet. 4:651-655); mutations in CLN1 (PPT1) cause infantile neuronal ceroid lipofuscinosis (Das et al., 1998 J. Clin. Invest. 102:361-370; Mitchison et al., 1998, Hum. Molec. Genet. 7:291-297); late infantile type ceroid lipofuscinosis is caused by mutations in the CLN2 gene (Sleat et al., 1997, Science 277:1802-1805); juvenile neuronal ceroid lipofuscinosis (Batten disease) is caused by mutations in the CLN3 gene (Mole et al., 1999, Hum. Mutat. 14: 199-215); late infantileneuronal ceroid lipofuscinosis, Finnish variant, is caused by mutations in the CLN5 gene (Savukoski et al., 1998, Nature Genet. 19:286-288); late-infantile form of neuronal ceroid lipofuscinosis is caused by mutations in the CLN6 gene (Gao et al., 2002, Am. J. Hum. Genet. 70:324-335); Niemann-Pick disease is caused by mutations in the ASM gene (Takahashi et al., 1992, J. Biol. Chem. 267:12552-12558; types A and B) and the NPC1 gene (Millat et al., 2001, Am. J. Hum. Genet. 68:1373-1385; type C); Kanzaki disease is caused by mutations in the NAGA gene (Keulemans et et al., 1996, J. Med. Genet. 33:458-464); Gaucher disease is caused by mutations in the GBA gene (Stone, et al., 1999, Europ. J. Hum. Genet. 7:505-509); Glycogen storage disease II is the prototypic lysosomal storage disease and is caused by mutations in the GAA gene (Becker et al., 1998, Am. J. Hum. Genet. 62:991-994); Krabbe disease is caused by mutations in the GALC gene (Sakai et al., 1994, Biochem. Biophys. Res. Commun. 198:485-491); Tay-Sachs disease is caused by mutations in the HEXA gene (Akli et al., 1991, Genomics 11:124-134; Mules et al., 1992, Am. J. Hum. Genet. 50: 834-841; Triggs-Raine et al., 1991, Am. J. Hum. Genet. 49:1041-1054; Drucker et al., 1993, Hum. Mutat. 2:415-417; Shore et al., 1992, Hum. Mutat. 1:486-490); mutations in the GM2Agene causes Tay-Sachs variant AB (Schepers et al., 1996, Am. J. Hum. Genet. 59:1048-1056; Chen et al., 1999, Am. J. Hum. Genet. 65:77-87); mutations in the HEXB gene cause Sandhoff disease (Zhang et al., 1994, Hum Mol Genet 3:139-145); alphamannosidosis type II is caused by mutations in the MAN2B1 gene (Gotoda et al., 1998, Am. J. Hum. Genet. 63:1015-1024; Autio et al., 1973, Acta Paediat. Scand. 62:555-565); metachromatic leukodystrophy is caused by mutations in the ARSA gene (Gieselmann et al., 1994, Hum. Mutat. 4:233-242). Any gene containing a premature translation codon implicated in lysosomal storage disease disorders including, but not limited to, the nonsense mutations and genes described in the references cited above, can be used in the present invention to identify compounds that mediate premature translation termination and/or nonsense-mediated mRNA decay.

5.5.17. Tuberous Sclerosis

Tuberous sclerosis complex (TSC) is a dominantly inherited disease characterized by the presence of hamartomata in multiple organ systems. The disease is caused by mutations in TSC1 (van Slegtenhorst et al., 1997 Science 277:805-808; Sato et al., 2002, J. Hum. Genet. 47:20-28) and/or TSC2 (Vrtel et al., 1996, J. Med. Genet. 33:47-51; Wilson et al., 1996, Hum. Molec. Genet. 5:249-256; Au et al., 1998, Am. J. Hum. Genet. 62:286-294; Verhoef et al., 1999, Europ. J. Pediat. 158:284-287; Carsillo et al., 2000, Proc. Nat. Acad. Sci. 97:6085-6090). Any gene containing a premature translation codon implicated in tuberous sclerosis including, but not limited to, the nonsense mutations described in the references cited above, can be used in the present invention to identify compounds that mediate premature translation termination and/or nonsense-mediated mRNA decay.

5.6. Secondary Biological Screens or Assays

5.6.1. in vitro Assays

The compounds identified in the assays described supra (for convenience referred to herein as a “lead” compound) can be tested for biological activity using host cells containing or engineered to contain a gene of interest with a premature stop codon or nonsense mutation coupled to a functional readout system. For example, a phenotypic or physiological readout can be used to assess the premature translation termination and/or nonsense-mediated mRNA decay of the RNA product encoded by the gene of interest in the presence and absence of the lead compound.

In one embodiment, a phenotypic or physiological readout can be used to assess the premature translation termination and/or nonsense-mediated mRNA decay of an RNA product of interest in the presence and absence of the lead compound. In accordance with this embodiment, cell-based and cell-free assays described herein, or in International Publication No. WO 01/44516 (which is incorporated herein by reference in its entirety) may be used to assess the premature translation termination and/or nonsense-mediated mRNA decay of the RNA product of interest. Where the gene product of interest is involved in cell growth or viability, the in vivo effect of the lead compound can be assayed by measuring the cell growth or viability of the target cell. Such assays can be carried out with representative cells of cell types involved in a particular disease or disorder (e.g., leukocytes such as T cells, B cells, natural killer cells, macrophages, neutrophils and eosinophils). A lower level of proliferation or survival of the contacted cells indicates that the lead compound is effective to treat a condition in the patient characterized by uncontrolled cell growth. Alternatively, instead of culturing cells from a patient, a lead compound may be screened using cells of a tumor or malignant cell line or an endothelial cell line. Specific examples of cell culture models include, but are not limited to, for lung cancer, primary rat lung tumor cells (see, e.g., Swafford et al., 1997, Mol. Cell. Biol., 17:1366-1374) and large-cell undifferentiated cancer cell lines (see, e.g., Mabry et al., 1991, Cancer Cells, 3:53-58); colorectal cell lines for colon cancer (see, e.g., Park & Gazdar, 1996, J. Cell Biochem. Suppl. 24:131-141); multiple established cell lines for breast cancer (see, e.g., Hambly et al., 1997, Breast Cancer Res. Treat. 43:247-258; Gierthy et al., 1997, Chemosphere 34:1495-1505; and Prasad & Church, 1997, Biochem. Biophys. Res. Commun. 232:14-19); a number of well-characterized cell models for prostate cancer (see, e.g., Webber et al., 1996, Prostate, Part 1, 29:386-394; Part 2, 30:58-64; and Part 3, 30:136-142 and Boulikas, 1997, Anticancer Res. 17:1471-1505); for genitourinary cancers, continuous human bladder cancer cell lines (see, e.g., Ribeiro et al., 1997, Int. J. Radiat. Biol. 72:11-20); organ cultures of transitional cell carcinomas (see, e.g., Booth et al., 1997, Lab Invest. 76:843-857) and rat progression models (see, e.g., Vet et al., 1997, Biochim. Biophys Acta 1360:39-44); and established cell lines for leukemias and lymphomas (see, e.g., Drexler, 1994, Leuk. Res. 18:919-927 and Tohyama, 1997, Int. J. Hematol. 65:309-317).

Many assays well-known in the art can be used to assess the survival and/or growth of a patient cell or cell line following exposure to a lead compound; for example, cell proliferation can be assayed by measuring bromodeoxyuridine (BrdU) incorporation (see, e.g., Hoshino et al., 1986, Int. J. Cancer 38:369 and Campana et al., 1988, J. Immunol. Meth. 107:79) or (3H)-thymidine incorporation (see, e.g., Chen, 1996, Oncogene 13:1395-403 and Jeoung, 1995, J. Biol. Chem. 270:18367-73), by direct cell count, by detecting changes in transcription, translation or activity of known genes such as proto-oncogenes (e.g., fos, myc) or cell cycle markers (Rb, cdc2, cyclin A, D1, D2, D3, E, etc.). The levels of such protein and mRNA and activity can be determined by any method well known in the art. For example, protein can be quantitated by known immunodiagnostic methods such as western blotting or immunoprecipitation using commercially available antibodies. mRNA can be quantitated using methods that are well known and routine in the art, for example, using northern analysis, RNase protection, the polymerase chain reaction in connection with reverse transcription (“RT-PCR”). Cell viability can be assessed by using trypan-blue staining or other cell death or viability markers known in the art. In a specific embodiment, the level of cellular ATP is measured to determined cell viability. Differentiation can be assessed, for example, visually based on changes in morphology.

The lead compound can also be assessed for its ability to inhibit cell transformation (or progression to malignant phenotype) in vitro. In this embodiment, cells with a transformed cell phenotype are contacted with a lead compound, and examined for change in characteristics associated with a transformed phenotype (a set of in vitro characteristics associated with a tumorigenic ability in vivo), for example, but not limited to, colony formation in soft agar, a more rounded cell morphology, looser substratum attachment, loss of contact inhibition, loss of anchorage dependence, release of proteases such as plasminogen activator, increased sugar transport, decreased serum requirement, or expression of fetal antigens, etc. (see, e.g., Luria et al., 1978, General Virology, 3d Ed., John Wiley & Sons, New York, pp. 436-446).

Loss of invasiveness or decreased adhesion can also be assessed to demonstrate the anti-cancer effects of a lead compound. For example, an aspect of the formation of a metastatic cancer is the ability of a precancerous or cancerous cell to detach from primary site of disease and establish a novel colony of growth at a secondary site. The ability of a cell to invade peripheral sites reflects its potential for a cancerous state. Loss of invasiveness can be measured by a variety of techniques known in the art including, for example, induction of E-cadherin-mediated cell-cell adhesion. Such E-cadherin-mediated adhesion can result in phenotypic reversion and loss of invasiveness (see, e.g., Hordijk et al., 1997, Science 278:1464-66).

Loss of invasiveness can further be examined by inhibition of cell migration. A variety of 2-dimensional and 3-dimensional cellular matrices are commercially available (Calbiochem-Novabiochem Corp. San Diego, Calif.). Cell migration across or into a matrix can be examined using microscopy, time-lapsed photography or videography, or by any method in the art allowing measurement of cellular migration. In a related embodiment, loss of invasiveness is examined by response to hepatocyte growth factor (“HGF”). HGF-induced cell scattering is correlated with invasiveness of cells such as Madin-Darby canine kidney (“MDCK”) cells. This assay identifies a cell population that has lost cell scattering activity in response to HGF (see, e.g., Hordijk et al., 1997, Science 278:1464-66).

Alternatively, loss of invasiveness can be measured by cell migration through a chemotaxis chamber (Neuroprobe/Precision Biochemicals Inc. Vancouver, BC). In such assay, a chemo-attractant agent is incubated on one side of the chamber (e.g., the bottom chamber) and cells are plated on a filter separating the opposite side (e.g., the top chamber). In order for cells to pass from the top chamber to the bottom chamber, the cells must actively migrate through small pores in the filter. Checkerboard analysis of the number of cells that have migrated can then be correlated with invasiveness (see e.g., Ohnishi, 1993, Biochem. Biophys. Res. Commun. 193:518-25).

A lead compound can also be assessed for its ability to alter the expression of a secondary protein (as determined, e.g. by western blot analysis) or RNA, whose expression and/or activation is regulated directly or indirectly by the gene product of a gene of interest containing a premature stop codon or a nonsense mutation (as determined, e.g., by RT-PCR or northern blot analysis) in cultured cells in vitro using methods which are well known in the art. Further, chemical footprinting analysis can be conducted as described herein (see, e.g., Example 7) or also well-known in the art.

5.6.2. Animal Models

Animal model systems can be used to demonstrate the safety and efficacy of the lead compounds identified in the nonsense suppression assays described above. The lead compounds identified in the nonsense suppression assay can then be tested for biological activity using animal models for a disease, condition, or syndrome of interest. These include animals engineered to contain the target RNA element coupled to a functional readout system, such as a transgenic mouse.

There are a number of methods that can be used to conduct animal model studies. Briefly, a compound identified in accordance with the methods of the invention is introduced into an animal model so that the effect of the compound on the manifestation of disease can be determined. The prevention or reduction in the severity, duration or onset of a symptom associated with the disease or disorder of the animal model that is associated with, characterized by or caused by premature translation termination and/or nonsense mediated mRNA decay would indicate that the compound administered to the animal model had a prophylactic or therapeutic effect. Any method can be used to introduce the compound into the animal model, including, but not limited to, injection, intravenous infusion, oral ingestion, or inhalation. In a preferred embodiment, transgenic hosts are constructed so that the animal genome encodes a gene of interest with a premature translation termination sequence or stop codon. In such an embodiment, the gene, containing a premature translation termination sequence or stop codon, would not encode a full length peptide from a transcribed mRNA. The administration of a compound to the animal model, and the expression of a full length protein, polypeptide or peptide, for example, corresponding to the gene containing a premature stop codon would indicate that the compound modulates premature translation termination. Any method known in the art, or described herein, can be used to determine if the stop codon was modulated by the compound. In another embodiment, an animal is transfected with a reporter construct comprising a regulatory element operably linked to a reporter gene so that the expression the reporter gene is regulated by a regulatory protein or subunit thereof encoded by a nucleic acid sequence that contains a premature translation termination sequence or stop codon suppression. In such an embodiment, the animal can be cotransfected with a recombinant vector comprising the nucleic acid sequence encoding the regulatory protein with a premature stop codon. In another embodiment, the animal host genome encodes a native gene containing a premature stop codon. In yet another embodiment of the invention, the animal host is a natural mutant, i.e., natively encoding a gene with a premature stop codon. For example, the animal can be a model for cystic fibrosis wherein the animal genome contains a natural mutation that incorporates a premature stop codon or translation termination sequence.

Examples of animal models for cystic fibrosis include, but are not limited to, cftr(−/−) mice (see, e.g., Freedman et al., 2001, Gastroenterology 121(4):950-7), cftr(tm1HGU/tm1HGU) mice (see, e.g., Bernhard et al., 2001, Exp Lung Res 27(4):349-66), CFTR-deficient mice with defective cAMP-mediated Cl(−) conductance (see, e.g., Stotland et al., 2000, Pediatr Pulmonol 30(5):413-24), C57BL/6-Cftr(m1UNC)/Cftr(m1UNC) knockout mice (see, e.g., Stotland et al., 2000, Pediatr Pulmonol 30(5):413-24), an animal model of the human airway, using bronchial xenografts engrafted on rat tracheas and implanted into nude mice (see, e.g., Engelhardt et al., 1992, J. Clin. Invest. 90: 2598-2607), a transgenic mouse model of cystic fibrosis (see, e.g., Clarke et al., 1992, Science 257: 1125-1128; Colledge et al., 1992, Lancet 340: 680 only; Dorin et al., 1992, Nature 359: 211-215; Snouwaert et al., 1992, Science 257: 1083-1088; Manson et al., 1997, EMBO J. 16: 4238-4249).

Examples of animal models for muscular dystrophy include, but are not limited to, mouse, hamster, cat, dog, and C. elegans. Examples of mouse models for muscular dystrophy include, but are not limited to, the dy−/− mouse (see, e.g., Connolly et al., 2002, J Neuroimmunol 127(1-2):80-7), a muscular dystrophy with myositis (mdm) mouse mutation (see, e.g., Garvey et al., 2002, Genomics 79(2):146-9), the mdx mouse (see, e.g., Nakamura et al., 2001, Neuromuscul Disord 11(3):251-9), the utrophin-dystrophin knockout (dko) mouse (see, e.g., Nakamura et al., 2001, Neuromuscul Disord 11(3):251-9), the dy/dy mouse (see, e.g., Dubowitz et al., 2000, Neuromuscul Disord 10(4-5):292-8), the mdx(Cv3) mouse model (see, e.g., Pillers et al., 1999, Laryngoscope 109(8):1310-2), and the myotonic ADR-MDX mutant mice (see, e.g., Kramer et al., 1998, Neuromuscul Disord 8(8):542-50). Examples of hamster models for muscular dystrophy include, but are not limited to, sarcoglycan-deficient hamsters (see, e.g., Nakamura et al., 2001, Am J Physiol Cell Physiol 281(2):C690-9) and the BIO 14.6 dystrophic hamster (see, e.g., Schlenker & Burbach, 1991, J Appl Physiol 71(5):1655-62). An example of a feline model for muscular dystrophy includes, but is not limited to, the hypertrophic feline muscular dystrophy model (see, e.g., Gaschen & Burgunder, 2001, Acta Neuropathol (Berl) 101(6):591-600). Canine models for muscular dystrophy include, but are not limited to, golden retriever muscular dystrophy (see, e.g., Fletcher et al., 2001, Neuromuscul Disord 11(3):23943) and canine X-linked muscular dystrophy (see, e.g., Valentine et al., 1992, Am J Med Genet 42(3):352-6). Examples of C. elegans models for muscular dystrophy are described in Chamberlain & Benian, 2000, Curr Biol 10(21):R795-7 and Culette & Sattelle, 2000, Hum Mol Genet 9(6):869-77. Also, a mouse model for Duchenne type muscular dystrophy has been used to show that treatment with anabolic steroids increases myofiber damage (see, e.g., Krahn et al., 1994, J. Neurol. Sci. 125: 138-146). A feline model for Duchenne type muscular dystrophy has also been described (see, e.g., Winand et al., 1994, 4: 433-445).

Examples of animal models for familial hypercholesterolemia include, but are not limited to, mice lacking functional LDL receptor genes (see, e.g., Aji et al., 1997, Circulation 95(2):430-7), Yoshida rats (see, e.g., Fantappie et al., 1992, Life Sci 50(24):1913-24), the JCR:LA-cp rat (see, e.g., Richardson et al., 1998, Atherosclerosis 138(1):135-46), swine (see, e.g., Hasler-Rapacz et al., 1998, Am J Med Genet 76(5):379-86), the Watanabe heritable hyperlipidaemic rabbit (see, e.g., Tsutsumi et al., 2000, Arzneimittelforschung 50(2):118-21; Harsch et al., 1998, Br J Pharmacol 124(2):227-82; and Tanaka et al., 1995, Atherosclerosis 114(1):73-82); and a family of rhesus monkeys with hypercholesterolemia due to deficiency of the LDL receptor (see, e.g., Scanu et al., 1988, J. Lipid Res. 29: 1671-1681).

An example of an animal model for human cancer in general includes, but is not limited to, spontaneously occurring tumors of companion animals (see, e.g., Vail & MacEwen, 2000, Cancer Invest 18(8):781-92). Examples of animal models for lung cancer include, but are not limited to, lung cancer animal models described by Zhang & Roth (1994, In Vivo 8(5):755-69) and a transgenic mouse model with disrupted p53 function (see, e.g., Morris et al., 1998, J La State Med Soc 150(4):179-85). An example of an animal model for breast cancer includes, but is not limited to, a transgenic mouse that over expresses cyclin D1 (see, e.g., Hosokawa et al., 2001, Transgenic Res 10(5):471-8). An example of an animal model for colon cancer includes, but is not limited to, a TCRbeta and p53 double knockout mouse (see, e.g., Kado et al., 2001, Cancer Res 61(6):2395-8). Examples of animal models for pancreatic cancer include, but are not limited to, a metastatic model of Panc02 murine pancreatic adenocarcinoma (see, e.g., Wang et al., 2001, Int J Pancreatol 29(1):37-46) and nu-nu mice generated in subcutaneous pancreatic tumours (see, e.g., Ghaneh et al., 2001, Gene Ther 8(3):199-208). Examples of animal models for non-Hodgkin's lymphoma include, but are not limited to, a severe combined immunodeficiency (“SCID”) mouse (see, e.g., Bryant et al., 2000, Lab Invest 80(4):553-73) and an IgHmu-HOX11 transgenic mouse (see, e.g., Hough et al., 1998, Proc Natl Acad Sci USA 95(23):13853-8). An example of an animal model for esophageal cancer includes, but is not limited to, a mouse transgenic for the human papillomavirus type 16 E7 oncogene (see, e.g., Herber et al., 1996, J Virol 70(3):1873-81). Examples of animal models for colorectal carcinomas include, but are not limited to, Apc mouse models (see, e.g., Fodde & Smits, 2001, Trends Mol Med 7(8):369-73 and Kuraguchi et al., 2000, Oncogene 19(50):5755-63). An example of an animal model for neurofibromatosis includes, but is not limited to, mutant NF1 mice (see, e.g., Cichowski et al., 1996, Semin Cancer Biol 7(5):291-8). Examples of animal models for retinoblastoma include, but are not limited to, transgenic mice that expression the simian virus 40 T antigen in the retina (see, e.g., Howes et al., 1994, Invest Ophthalmol Vis Sci 35(2):342-51 and Windle et al, 1990, Nature 343(6259):665-9) and inbred rats (see, e.g., Nishida et al., 1981, Curr Eye Res 1(1):53-5 and Kobayashi et al., 1982, Acta Neuropathol (Berl) 57(2-3):203-8). Examples of animal models for Wilm's tumor include, but are not limited to, a WT1 knockout mice (see, e.g., Scharnhorst et al., 1997, Cell Growth Differ 8(2):133-43), a rat subline with a high incidence of neuphroblastoma (see, e.g., Mesfin & Breech, 1996, Lab Anim Sci 46(3):321-6), and a Wistar/Furth rat with Wilms' tumor (see, e.g., Murphy et al., 1987, Anticancer Res 7(4B):717-9).

Examples of animal models for retinitis pigmentosa include, but are not limited to, the Royal College of Surgeons (“RCS”) rat (see, e.g., Vollrath et al., 2001, Proc Natl Acad Sci USA 98(22); 12584-9 and Hanitzsch et al., 1998, Acta Anat (Basel) 162(2-3):119-26), a rhodopsin knockout mouse (see, e.g., Jaissle et al., 2001, Invest Ophthalmol Vis Sci 42(2):506-13), Wag/Rij rats (see, e.g., Lai et al., 1980, Am J Pathol 98(1):281-4).

Examples of animal models for cirrhosis include, but are not limited to, CCl₄-exposed rats (see, e.g., Kloehn et al., 2001, Horm Metab Res 33(7):394-401) and rodent models instigated by bacterial cell components or colitis (see, e.g., Vierling, 2001, Best Pract Res Clin Gastroenterol 15(4):591-610).

Examples of animal models for hemophilia include, but are not limited to, rodent models for hemophilia A (see, e.g., Reipert et al., 2000, Thromb Haemost 84(5):826-32; Jarvis et al., 1996, Thromb Haemost 75(2):318-25; and Bi et al., 1995, Nat Genet 10(1):119-21), canine models for hemophilia A (see, e.g., Gallo-Penn et al., 1999, Hum Gene Ther 10(11): 1791-802 and Connelly et al, 1998, Blood 91(9); 3273-81), murine models for hemophilia B (see, e.g., Snyder et al., 1999, Nat Med 5(1):64-70; Wang et al., 1997, Proc Natl Acad Sci USA 94(21): 11563-6; and Fang et al., 1996, Gene Ther 3(3):217-22), canine models for hemophilia B (see, e.g., Mount et al., 2002, Blood 99(8):2670-6; Snyder et al., 1999, Nat Med 5(1):64-70; Fang et al., 1996, Gene Ther 3(3):217-22); and Kay et al., 1994, Proc Natl Acad Sci USA 91(6):2353-7), and a rhesus macaque model for hemophilia B (see, e.g., Lozier et al., 1999, Blood 93(6):1875-81).

Examples of animal models for von Willebrand disease include, but are not limited to, an inbred mouse strain RIIIS/J (see, e.g., Nichols et al., 1994, 83(11):3225-31 and Sweeney et al., 1990, 76(11):2258-65), rats injected with botrocetin (see, e.g., Sanders et al., 1988, Lab Invest 59(4):443-52), and porcine models for von Willebrand disease (see, e.g., Nichols et al., 1995, Proc Natl Acad Sci USA 92(7):2455-9; Johnson & Bowie, 1992, J Lab Clin Med 120(4):553-8); and Brinkhous et al., 1991, Mayo Clin Proc 66(7):733-42).

Examples of animal models for b-thalassemia include, but are not limited to, murine models with mutations in globin genes (see, e.g., Lewis et al., 1998, Blood 91(6):2152-6; Raja et al., 1994, Br J Haematol 86(1):156-62; Popp et al., 1985, 445:432-44; and Skow et al., 1983, Cell 34(3):1043-52). Ciavatta and co-workers created a mouse model of beta-zero-thalassemia by targeted deletion of both adult beta-like globin genes, beta(maj) and beta(min), in mouse embryonic stem cells (see, e.g., Ciavatta et al., 1995, Proc Natl Acad Sci USA. Sep 26; 92(20):9259-63).

Examples of animal models for kidney stones include, but are not limited to, genetic hypercalciuric rats (see, e.g., Bushinsky et al., 1999, Kidney Int 55(1):234-43 and Bushinsky et al., 1995, Kidney Int 48(6):1705-13), chemically treated rats (see, e.g., Grases et al., 1998, Scand J Urol Nephrol 32(4):261-5; Burgess et al., 1995, Urol Res 23(4):239-42; Kumar et al., 1991, J Urol 146(5):1384-9; Okada et al., 1985, Hinyokika Kiyo 31(4):565-77; and Bluestone et al., 1975, Lab Invest 33(3):273-9), hyperoxaluric rats (see, e.g., Jones et al., 1991, J Urol 145(4):868-74), pigs with unilateral retrograde flexible nephroscopy (see, e.g., Seifmah et al., 2001, 57(4):832-6), and rabbits with an obstructed upper urinary tract (see, e.g., Itatani et al., 1979, Invest Urol 17(3):234-40).

Examples of animal models for ataxia-telangiectasia include, but are not limited to, murine models of ataxia-telangiectasia (see, e.g., Barlow et al., 1999, Proc Natl Acad Sci USA 96(17):9915-9 and Inoue et al., 1986, Cancer Res 46(8):3979-82). A mouse model was generated for ataxia-telangiectasia using gene targeting to generate mice that did not express the Atm protein (see, e.g., Elson et al., 1996, Proc. Nat. Acad. Sci. 93: 13084-13089).

Examples of animal models for lysosomal storage diseases include, but are not limited to, mouse models for mucopolysaccharidosis type VII (see, e.g., Brooks et al., 2002, Proc Natl Acad Sci USA. 99(9):6216-21; Monroy et al., 2002, Bone 30(2):352-9; Vogler et al., 2001, Pediatr Dev Pathol. 4(5):421-33; Vogler et al., 2001, Pediatr Res. 49(3):342-8; and Wolfe et al., 2000, Mol Ther. 2(6):552-6), a mouse model for metachromatic leukodystrophy (see, e.g., Matzner et al., 2002, Gene Ther. 9(1):53-63), a mouse model of Sandhoff disease (see, e.g., Sango et al., 2002, Neuropathol Appl Neurobiol. 28(1):23-34), mouse models for mucopolysaccharidosis type III A (see, e.g., Bhattacharyya et al., 2001, Glycobiology 11(1):99-10 and Bhaumik et al., 1999, Glycobiology 9(12):1389-96), arylsulfatase A (ASA)-deficient mice (see, e.g., D'Hooge et al., 1999, Brain Res. 847(2):352-6 and D'Hooge et al, 1999, Neurosci Lett. 273(2):93-6); mice with an aspartylglucosaminuria mutation (see, e.g., Jalanko et al., 1998, Hum Mol Genet. 7(2):265-72); feline models of mucopolysaccharidosis type VI (see, e.g., Crawley et al., 1998, J Clin Invest. 101(1):109-19 and Norrdin et al., 1995, Bone 17(5):485-9); a feline model of Niemann-Pick disease type C (see, e.g., March et al., 1997, Acta Neuropathol (Berl). 94(2):164-72); acid sphingomyelinase-deficient mice (see, e.g., Otterbach & Stoffel, 1995, Cell 81(7):1053-6), and bovine mannosidosis (see, e.g., Jolly et al., 1975, Birth Defects Orig Artic Ser. 11(6):273-8).

Examples of animal models for tuberous sclerosis (“TSC”) include, but are not limited to, a mouse model of TSC1 (see, e.g., Kwiatkowski et al., 2002, Hum Mol Genet. 11(5):525-34), a Tsc1 (TSC1 homologue) knockout mouse (see, e.g., Kobayashi et al., 2001, Proc Natl Acad Sci USA. 2001 Jul. 17; 98(15):8762-7), a TSC2 gene mutant (Eker) rat model (see, e.g., Hino 2000, Nippon Rinsho 58(6):1255-61; Mizuguchi et al., 2000, J Neuropathol Exp Neurol. 59(3):188-9; and Hino et al., 1999, Prog Exp Tumor Res. 35:95-108); and Tsc2(+/−) mice (see, e.g., Onda et al., 1999, J Clin Invest. 104(6):687-95).

5.6.3. Toxicity

The toxicity and/or efficacy of a compound identified in accordance with the invention can be determined by standard pharmaceutical procedures in cell cultures or experimental animals, e.g., for determining the LD₅₀ (the dose lethal to 50% of the population) and the ED₅₀ (the dose therapeutically effective in 50% of the population). Cells and cell lines that can be used to assess the cytotoxicity of a compound identified in accordance with the invention include, but are not limited to, peripheral blood mononuclear cells (PBMCs), Caco-2 cells, and Huh7 cells. The dose ratio between toxic and therapeutic effects is the therapeutic index and it can be expressed as the ratio LD₅₀/ED₅₀. A compound identified in accordance with the invention that exhibits large therapeutic indices is preferred. While a compound identified in accordance with the invention that exhibits toxic side effects may be used, care should be taken to design a delivery system that targets such agents to the site of affected tissue in order to minimize potential damage to uninfected cells and, thereby, reduce side effects.

The data obtained from the cell culture assays and animal studies can be used in formulating a range of dosage of a compound identified in accordance with the invention for use in humans. The dosage of such agents lies preferably within a range of circulating concentrations that include the ED₅₀ with little or no toxicity. The dosage may vary within this range depending upon the dosage form employed and the route of administration utilized. For any agent used in the method of the invention, the therapeutically effective dose can be estimated initially from cell culture assays. A dose may be formulated in animal models to achieve a circulating plasma concentration range that includes the IC₅₀ (i.e., the concentration of the compound that achieves a half-maximal inhibition of symptoms) as determined in cell culture. Such information can be used to more accurately determine useful doses in humans. Levels in plasma may be measured, for example, by high performance liquid chromatography.

5.7. Design of Congeners or Analogs

The compounds which display the desired biological activity can be used as lead compounds for the development or design of congeners or analogs having useful pharmacological activity. For example, once a lead compound is identified, molecular modeling techniques can be used to design variants of the compound that can be more effective. Examples of molecular modeling systems are the CHARM and QUANTA programs (Polygen Corporation, Waltham, Mass.). CHARM performs the energy minimization and molecular dynamics functions. QUANTA performs the construction, graphic modelling and analysis of molecular structure. QUANTA allows interactive construction, modification, visualization, and analysis of the behavior of molecules with each other.

A number of articles review computer modeling of drugs interactive with specific proteins, such as Rotivinen et al., 1988, Acta Pharmaceutical Fennica 97:159-166; Ripka, 1998, New Scientist 54-57; McKinaly & Rossmann, 1989, Annu. Rev. Pharmacol. Toxiciol. 29:111-122; Perry & Davies, OSAR: Quantitative Structure-Activity Relationships in Drug Design pp. 189-193 (Alan R. Liss, Inc. 1989); Lewis & Dean, 1989, Proc. R Soc. Lond. 236:125-140 and 141-162; Askew et al., 1989, J. Am. Chem. Soc. 111:1082-1090. Other computer programs that screen and graphically depict chemicals are available from companies such as BioDesign, Inc. (Pasadena, Calif.), Allelix, Inc. (Mississauga, Ontario, Canada), and Hypercube, Inc. (Cambridge, Ontario). Although these are primarily designed for application to drugs specific to particular proteins, they can be adapted to design of drugs specific to any identified region. The analogs and congeners can be tested for binding to translational machinery using assays well-known in the art or described herein for biologic activity. Alternatively, lead compounds with little or no biologic activity, as ascertained in the screen, can also be used to design analogs and congeners of the compound that have biologic activity.

5.8. Use of Identified Compounds to Treat/Prevent a Disease or Disorder

The present invention provides methods of preventing, treating, managing or ameliorating a disorder associated with premature translation termination and/or nonsense-mediated mRNA decay, or one or more symptoms thereof, said methods comprising administering to a subject in need thereof one or more compounds identified in accordance with the methods of the invention or a pharmaceutically acceptable salt thereof. Examples of diseases associated with, characterized by or caused by associated with premature translation termination and/or nonsense-mediated mRNA decay include, but are not limited to, cystic fibrosis, muscular dystrophy, heart disease, lung cancer, breast cancer, colon cancer, pancreatic cancer, non-Hodgkin's lymphoma, ovarian cancer, esophageal cancer, colorectal carcinomas, neurofibromatosis, retinoblastoma, Wilm's tumor, retinitis pigmentosa, collagen disorders, cirrhosis, Tay-Sachs disease, blood disorders, kidney stones, ataxia-telangiectasia, lysosomal storage diseases, and tuberous sclerosis. See Sections 5.5 and 8 for additional non-limiting examples of diseases and genetic disorders which can be prevented, treated, managed or ameliorated by administering one or more of the compounds identified in accordance with the methods of the invention or a pharmaceutically acceptable salt thereof. Genes that contain one or more nonsense mutations that are potentially involved in causing disease are presented in table form according to chromosome location in Example 8 infra.

In a preferred embodiment, it is first determined that the patient is suffering from a disease associated with premature translation termination and/or nonsense-mediated mRNA decay before administering a compound identified in accordance with the invention or a combination therapy described herein. In a preferred embodiment, the DNA of the patient can be sequenced or subject to Southern Blot, polymerase chain reaction (PCR), use of the Short Tandem Repeat (STR), or polymorphic length restriction fragments (RFLP) analysis to determine if a nonsense mutation is present in the DNA of the patient. Alternatively, it can be determined if altered levels of the protein with the nonsense mutation are expressed in the patient by western blot or other immunoassays. Such methods are well known to one of skill in the art.

In one embodiment, the invention provides a method of preventing, treating, managing or ameliorating a disorder or one or more symptoms thereof, said method comprising administering to a subject in need thereof a dose of a prophylactically or therapeutically effective amount of one or more compounds identified in accordance with the methods of the invention. In another embodiment, a compound identified in accordance with the methods of the invention is not administered to prevent, treat, or ameliorate a disorder or one or more symptoms thereof, if such compound has been used previously to prevent, treat, manage or ameliorate said disorder. In a more specific embodiment of the invention, disorders that can be treated with the compounds of the invention, include, but are not limited to, disorders that are associated with, characterized by or caused by premature translation termination and/or nonsense mediated mRNA decay.

The invention also provides methods of preventing, treating, managing or ameliorating a disorder associated with, characterized by or caused by premature translation termination and/or nonsense mediate mRNA decay, or one or more symptoms thereof, said methods comprising administering to a subject in need thereof one or more of the compounds identified utilizing the screening methods described herein or a pharmaceutically acceptable salt thereof, and one or more other therapies (e.g., prophylactic or therapeutic agents). Preferably, the other therapies are currently being used, have been used or are known to be useful in the prevention, treatment, management or amelioration of said disorder or a symptom thereof. Non-limiting examples of such therapies are in Section 5.8.1 infra.

The therapies (e.g., prophylactic or therapeutic agents) or the combination therapies of the invention can be administered sequentially or concurrently. In a specific embodiment, the combination therapies of the invention comprise a compound identified in accordance with the invention and at least one other therapy that has the same mechanism of action as said compound. In another specific embodiment, the combination therapies of the invention comprise a compound identified in accordance with the methods of the invention and at least one other therapy (e.g., prophylactic or therapeutic agent) which has a different mechanism of action than said compound. The combination therapies of the present invention improve the prophylactic or therapeutic effect of a compound of the invention by functioning together with the compound to have an additive or synergistic effect. The combination therapies of the present invention reduce the side effects associated with the therapies (e.g., prophylactic or therapeutic agents).

The prophylactic or therapeutic agents of the combination therapies can be administered to a subject in the same pharmaceutical composition. Alternatively, the prophylactic or therapeutic agents of the combination therapies can be administered concurrently to a subject in separate pharmaceutical compositions. The prophylactic or therapeutic agents may be administered to a subject by the same or different routes of administration.

In a specific embodiment, a pharmaceutical composition comprising one or more compounds identified in a screening assay described herein is administered to a subject, preferably a human, to prevent, treat, manage or ameliorate a disorder associated with, characterized by or caused by premature translation termination and/or nonsense mediated mRNA decay or one or more symptoms thereof. In accordance with the invention, the pharmaceutical composition may also comprise one or more other prophylactic or therapeutic agents. Preferably, such prophylactic or theapeutic agents are currently being used, have been used or are known to be useful in the prevention, treatment, management or amelioration of a disorder associated with, characterized by, or caused by premature translation termination or nonsense-mediated mRNA decay or one or more symptoms thereof.

A compound identified in accordance with the methods of the invention may be used as a first, second, third, fourth or fifth line of therapy for a disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay. The invention provides methods for treating, managing or ameliorating a disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay or one or more symptoms thereof in a subject refractory to conventional therapies for such disorder, said methods comprising administering to said subject a dose of a prophylactically or therapeutically effective amount of a compound identified in accordance with the methods of the invention. In particular, a disorder may be determined to be refractory to a therapy when at least some significant portion of the disorder is not resolved in response to the therapy. Such a determination can be made either in vivo or in vitro by any method known in the art for assaying the effectiveness of a therapy on a subject, using the art-accepted meanings of “refractory” in such a context. In a specific embodiment, a disorder is refractory where the number of symptoms of the disorder has not been significantly reduced, or has increased.

The invention provides methods for treating, managing or ameliorating one or more symptoms of a disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay in a subject refractory to existing single agent therapies for such disorder, said methods comprising administering to said subject a dose of a prophylactically or therapeutically effective amount of a compound identified in accordance with the methods of the invention and a dose of a prophylactically or therapeutically effective amount of one or more other therapies (e.g., prophylactic or therapeutic agents). The invention also provides methods for treating or managing a disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay by administering a compound identified in accordance with the methods of the invention in combination with any other therapy (e.g., radiation therapy, chemotherapy or surgery) to patients who have proven refractory to other therapies but are no longer on these therapies. The invention also provides methods for the treatment or management of a patient having a disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay and said patient is immunosuppressed by reason of having previously undergone other therapies. Further, the invention provides methods for preventing the recurrence of a disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay such as, e.g., cancer in patients that have been undergone therapy and have no disease activity by administering a compound identified in accordance with the methods of the invention.

5.8.1. Other Therapies

The present invention provides methods of preventing, treating, managing or ameliorating a disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay, or one or more symptoms thereof, said methods comprising administering to a subject in need thereof one or more compounds identified in accordance with the methods of the invention or a pharmaceutically acceptable salt thereof, and one or more other therapies (e.g., prophylactic or therapeutic agents). Any therapy (e.g., chemotherapies, radiation therapies, hormonal therapies, and/or biological therapies/immunotherapies) which is known to be useful, or which has been used or is currently being used for the prevention, treatment, management or amelioration of disorders associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay or one or more symptoms thereof can be used in combination with a compound identified in accordance with the methods of the invention. Examples of therapeutic or prophylactic agents which can be used in combination with a compound identified in accordance with the invention include, but are not limited to, peptides, polypeptides, fusion proteins, nucleic acid molecules, small molecules, mimetic agents, synthetic drugs, inorganic molecules, and organic molecules.

Proliferative disorders associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay can be prevented, treated, managed or ameliorated by administering to a subject in need thereof one or more of the compounds identified in accordance with the methods of the invention, and one or more other therapies for prevention, treatment, management or amelioration of said disorders or a symptom thereof. Examples of such therapies include, but are not limited to, angiogenesis inhibitors, topoisomerase inhibitors, immunomodulatory agents (such as chemotherapeutic agents) and radiation therapy. Angiogenesis inhibitors (i.e., anti-angiogenic agents) include, but are not limited to, angiostatin (plasminogen fragment); antiangiogenic antithrombin III; angiozyme; ABT-627; Bay 12-9566; Benefin; Bevacizumab; BMS-275291; cartilage-derived inhibitor (CDI); CAI; CD59 complement fragment; CEP-7055; Col 3; combretastatin A-4; endostatin (collagen XVIII fragment); fibronectin fragment; Gro-beta; Halofuginone; Heparinases; Heparin hexasaccharide fragment; HMV833; human chorionic gonadotropin (hCG); IM-862; Interferon alpha/beta/gamma; Interferon inducible protein (IP-10); Interleukin-12; Kringle 5 (plasminogen fragment); Marimastat; Metalloproteinase inhibitors (TIMPs); 2-methoxyestradiol; MMI 270 (CGS 27023A); MoAb IMC-1C11; Neovastat; NM-3; Panzem; PI-88; Placental ribonuclease inhibitor; plasminogen activator inhibitor; platelet factor-4 (PF4); Prinomastat; Prolactin 16 kD fragment; Proliferin-related protein (PRP); PTK 787/ZK 222594; retinoids; solimastat; squalamine; SS 3304; SU 5416; SU6668; SU11248; tetrahydrocortisol-S; tetrathiomolybdate; thalidomide; thrombospondin-1 (TSP-1); TNP-470; transforming growth factor-beta; vasculostatin; vasostatin (calreticulin fragment); ZD6126; ZD 6474; farnesyl transferase inhibitors (FTI); and bisphosphonates. In a specific embodiment, anti-angiogenic agents do not include antibodies or fragments thereof that immunospecifically bind to integrin α_(v)β₃.

Specific examples of propylactic or therapeutic agents which can be used in accordance with the methods of the invention to prevent, treat, manage or ameliorate a proliferative disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay, or a symptom thereof include, but not limited to: acivicin; aclarubicin; acodazole hydrochloride; acronine; adozelesin; aldesleukin; altretamine; ambomycin; ametantrone acetate; aminoglutethimide, amsacrine; anastrozole; anthramycin; asparaginase; asperlin; azacitidine; azetepa; azotomycin; batimastat; benzodepa; bicalutamide; bisantrene hydrochloride; bisnafide dimesylate; bizelesin; bleomycin sulfate; brequinar sodium; bropirimine; busulfan; cactinomycin; calusterone; caracemide; carbetimer; carboplatin; carmustine; carubicin hydrochloride; carzelesin; cedefingol; chlorambucil; cirolemycin; cisplatin; cladribine; crisnatol mesylate; cyclophosphamide; cytarabine; dacarbazine; dactinomycin; daunorubicin hydrochloride; decitabine; dexormaplatin; dezaguanine; dezaguanine mesylate; diaziquone; docetaxel; doxorubicin; doxorubicin hydrochloride; droloxifene; droloxifene citrate; dromostanolone propionate; duazomycin; edatrexate; eflornithine hydrochloride; elsamitrucin; enloplatin; enpromate; epipropidine; epirubicin hydrochloride; erbulozole; esorubicin hydrochloride; estramustine; estramustine phosphate sodium; etanidazole; etoposide; etoposide phosphate; etoprine; fadrozole hydrochloride; fazarabine; fenretinide; floxuridine; fludarabine phosphate; fluorouracil; flurocitabine; fosquidone; fostriecin sodium; gemcitabine; gemcitabine hydrochloride; hydroxyurea; idarubicin hydrochloride; ifosfamide; ilmofosine; interleukin II (including recombinant interleukin II, or rIL2), interferon alpha-2a; interferon alpha-2b; interferon alpha-n1; interferon alpha-n3; interferon beta-I a; interferon gamma-I b; iproplatin; irinotecan hydrochloride; lanreotide acetate; letrozole; leuprolide acetate; liarozole hydrochloride; lometrexol sodium; lomustine; losoxantrone hydrochloride; masoprocol; maytansine; mechlorethamine hydrochloride; megestrol acetate; melengestrol acetate; melphalan; menogaril; mercaptopurine; methotrexate; methotrexate sodium; metoprine; meturedepa; mitindomide; mitocarcin; mitocromin; mitogillin; mitomalcin; mitomycin; mitosper; mitotane; mitoxantrone hydrochloride; mycophenolic acid; nocodazole; nogalamycin; ormaplatin; oxisuran; paclitaxel; pegaspargase; peliomycin; pentamustine; peplomycin sulfate; perfosfamide; pipobroman; piposulfan; piroxantrone hydrochloride; plicamycin; plomestane; porfimer sodium; porfiromycin; prednimustine; procarbazine hydrochloride; puromycin; puromycin hydrochloride; pyrazofurin; riboprine; rogletimide; safingol; safingol hydrochloride; semustine; simtrazene; sparfosate sodium; sparsomycin; spirogermanium hydrochloride; spiromustine; spiroplatin, streptonigrin; streptozocin; sulofenur; talisomycin; tecogalan sodium; tegafur; teloxantrone hydrochloride; temoporfin; teniposide; teroxirone; testolactone; thiamiprine; thioguanine; thiotepa; tiazofurin; tirapazamine; toremifene citrate; trestolone acetate; triciribine phosphate; trimetrexate; trimetrexate glucuronate; triptorelin; tubulozole hydrochloride; uracil mustard; uredepa; vapreotide; verteporfin; vinblastine sulfate; vincristine sulfate; vindesine; vindesine sulfate; vinepidine sulfate; vinglycinate sulfate; vinleurosine sulfate; vinorelbine tartrate; vinrosidine sulfate; vinzolidine sulfate; vorozole; zeniplatin; zinostatin; zorubicin hydrochloride. Other anti-cancer drugs include, but are not limited to: 20-epi-1,25 dihydroxyvitamin D3; 5-ethynyluracil; abiraterone; aclarubicin; acylfulvene; adecypenol; adozelesin; aldesleukin; ALL-TK antagonists; altretamine; ambamustine; amidox; amifostine; aminolevulinic acid; amrubicin; amsacrine; anagrelide; anastrozole; andrographolide; angiogenesis inhibitors; antagonist D; antagonist G; antarelix; anti-dorsalizing morphogenetic protein-1; antiandrogen, prostatic carcinoma; antiestrogen; antineoplaston; antisense oligonucleotides; aphidicolin glycinate; apoptosis gene modulators; apoptosis regulators; apurinic acid; ara-CDP-DL-PTBA; arginine deaminase; asulacrine; atamestane; atrimustine; axinastatin 1; axinastatin 2; axinastatin 3; azasetron; azatoxin; azatyrosine; baccatin III derivatives; balanol; batimastat; BCR/ABL antagonists; benzochlorins; benzoylstaurosporine; beta lactam derivatives; beta-alethine; betaclamycin B; betulinic acid; bFGF inhibitor; bicalutamide; bisantrene; bisaziridinylspermine; bisnafide; bistratene A; bizelesin; breflate; bropirimine; budotitane; buthionine sulfoximine; calcipotriol; calphostin C; camptothecin derivatives; canarypox IL-2; capecitabine; carboxamide-amino-triazole; carboxyamidotriazole; CaRest M3; CARN 700; cartilage derived inhibitor; carzelesin; casein kinase inhibitors (ICOS); castanospemmine; cecropin B; cetrorelix; chlorlns; chloroquinoxaline sulfonamide; cicaprost; cis-porphyrin; cladribine; clomifene analogues; clotrimazole; collismycin A; collismycin B; combretastatin A4; combretastatin analogue; conagenin; crambescidin 816; crisnatol; cryptophycin 8; cryptophycin A derivatives; curacin A; cyclopentanthraquinones; cycloplatam; cypemycin; cytarabine ocfosfate; cytolytic factor; cytostatin; dacliximab; decitabine; dehydrodidemnin B; deslorelin; dexamethasone; dexifosfamide; dexrazoxane; dexverapamil; diaziquone; didemnin B; didox; diethylnorspermine; dihydro-5-azacytidine; dihydrotaxol, 9-; dioxamycin; diphenyl spiromustine; docetaxel; docosanol; dolasetron; doxifluridine; droloxifene; dronabinol; duocarmycin SA; ebselen; ecomustine; edelfosine; edrecolomab; eflornithine; elemene; emitefur; epirubicin; epristeride; estramustine analogue; estrogen agonists; estrogen antagonists; etanidazole; etoposide phosphate; exemestane; fadrozole; fazarabine; fenretinide; filgrastim; finasteride; flavopiridol; flezelastine; fluasterone; fludarabine; fluorodaunorunicin hydrochloride; forfenimex; formestane; fostriecin; fotemustine; gadolinium texaphyrin; gallium nitrate; galocitabine; ganirelix; gelatinase inhibitors; gemcitabine; glutathione inhibitors; hepsulfam; heregulin; hexamethylene bisacetamide; hypericin; ibandronic acid; idarubicin; idoxifene; idramantone; ilmofosine; ilomastat; imidazoacridones; imiquimod; immunostimulant peptides; insulin-like growth factor-1 receptor inhibitor; interferon agonists; interferons; interleukins; iobenguane; iododoxorubicin; ipomeanol, 4-iroplact; irsogladine; isobengazole; isohomohalicondrin B; itasetron; jasplakinolide; kahalalide F; lamellarin-N triacetate; lanreotide; leinamycin; lenograstim; lentinan sulfate; leptolstatin; letrozole; leukemia inhibiting factor; leukocyte alpha interferon; leuprolide+estrogen+progesterone; leuprorelin; levamisole; liarozole; linear polyamine analogue; lipophilic disaccharide peptide; lipophilic platinum compounds; lissoclinamide 7; lobaplatin; lombricine; lometrexol; lonidamine; losoxantrone; lovastatin; loxoribine; lurtotecan; lutetium texaphyrin; lysofylline; lytic peptides; maitansine; mannostatin A; marimastat; masoprocol; maspin; matrilysin inhibitors; matrix metalloproteinase inhibitors; menogaril; merbarone; meterelin; methioninase; metoclopramide; MIF inhibitor; mifepristone; miltefosine; mirimostim; mismatched double stranded RNA; mitoguazone; mitolactol; mitomycin analogues; mitonafide; mitotoxin fibroblast growth factor-saporin; mitoxantrone; mofarotene; molgramostim; monoclonal antibody, human chorionic gonadotrophin; monophosphoryl lipid A+myobacterium cell wall sk; mopidamol; multiple drug resistance gene inhibitor; multiple tumor suppressor 1-based therapy; mustard anticancer agent; mycaperoxide B; mycobacterial cell wall extract; myriaporone; N-acetyldinaline; N-substituted benzamides; nafarelin; nagrestip; naloxone+pentazocine; napavin; naphterpin; nartograstim; nedaplatin; nemorubicin; neridronic acid; neutral endopeptidase; nilutamide; nisamycin; nitric oxide modulators; nitroxide antioxidant; nitrullyn; O6-benzylguanine; octreotide; okicenone; oligonucleotides; onapristone; ondansetron; ondansetron; oracin; oral cytokine inducer; ormaplatin; osaterone; oxaliplatin; oxaunomycin; paclitaxel; paclitaxel analogues; paclitaxel derivatives; palauamine; palmitoylrhizoxin; pamidronic acid; panaxytriol; panomifene; parabactin; pazelliptine; pegaspargase; peldesine; pentosan polysulfate sodium; pentostatin; pentrozole; perflubron; perfosfamide; perillyl alcohol; phenazinomycin; phenylacetate; phosphatase inhibitors; picibanil; pilocarpine hydrochloride; pirarubicin; piritrexim; placetin A; placetin B; plasminogen activator inhibitor; platinum complex; platinum compounds; platinum-triamine complex; porfimer sodium; porfiromycin; prednisone, propyl bis-acridone; prostaglandin J2; proteasome inhibitors; protein A-based immune modulator; protein kinase C inhibitor; protein kinase C inhibitors, microalgal; protein tyrosine phosphatase inhibitors; purine nucleoside phosphorylase inhibitors; purpurins; pyrazoloacridine; pyridoxylated hemoglobin polyoxyethylene conjugate; raf antagonists; raltitrexed; ramosetron; ras farnesyl protein transferase inhibitors; ras inhibitors; ras-GAP inhibitor; retelliptine demethylated; rhenium Re 186 etidronate; rhizoxin; ribozymes; RII retinamide; rogletimide; rohitukine; romurtide; roquinimex; rubiginone B1; ruboxyl; safingol; saintopin; SarCNU; sarcophytol A; sargramostim; Sdi 1 mimetics; semustine; senescence derived inhibitor 1; sense oligonucleotides; signal transduction inhibitors; signal transduction modulators; single chain antigen binding protein; sizofiran; sobuzoxane; sodium borocaptate; sodium phenylacetate; solverol; somatomedin binding protein; sonermin; sparfosic acid; spicamycin D; spiromustine; splenopentin; spongistatin 1; squalamine; stem cell inhibitor; stem-cell division inhibitors; stipiamide; stromelysin inhibitors; sulfinosine; superactive vasoactive intestinal peptide antagonist; suradista; suramin; swainsonine; synthetic glycosaminoglycans; tallimustine; 5-fluorouracil; leucovorin; tamoxifen methiodide; tauromustine; tazarotene; tecogalan sodium; tegafur; tellurapyrylium; telomerase inhibitors; temoporfin; temozolomide; teniposide; tetrachlorodecaoxide; tetrazomine; thaliblastine; thiocoraline; thrombopoietin; thrombopoietin mimetic; thymalfasin; thymopoietin receptor agonist; thymotrinan; thyroid stimulating hormone; tin ethyl etiopurpurin; tirapazamine; titanocene bichloride; topsentin; toremifene; totipotent stem cell factor; translation inhibitors; tretinoin; triacetyluridine; triciribine; trimetrexate; triptorelin; tropisetron; turosteride; tyrosine kinase inhibitors; tyrphostins; UBC inhibitors; ubenimex; urogenital sinus-derived growth inhibitory factor; urokinase receptor antagonists; vapreotide; variolin B; vector system, erythrocyte gene therapy; thalidomide; velaresol; veramine; verdins; verteporfin; vinorelbine; vinxaltine; vorozole; zanoterone; zeniplatin; zilascorb; and zinostatin stimalamer.

Specific examples of propylactic or therapeutic agents which can be used in accordance with the methods of the invention to prevent, treat, manage and/or ameliorate a central nervous system disorders associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay, or a symptom thereof include, but are not limited to: Levodopa, L-DOPA, cocaine, α-methyl-tyrosine, reserpine, tetrabenazine, benzotropine, pargyline, fenodolpam mesylate, cabergoline, pramipexole dihydrochloride, ropinorole, amantadine hydrochloride, selegiline hydrochloride, carbidopa, pergolide mesylate, Sinemet CR, or Symmetrel.

Specific examples of propylactic or therapeutic agents which can be used in accordance with the methods of the invention to prevent, treat, manage and/or ameliorate a metabolic disorders associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay, or a symptom thereof include, but are not limited to: a monoamine oxidase inhibitor (MAO), for example, but not limited to, iproniazid, clorgyline, phenelzine and isocarboxazid; an acetylcholinesterase inhibitor, for example, but not limited to, physostigmine saliclate, physostigmine sulfate, physostigmine bromide, meostigmine bromide, neostigmine methylsulfate, ambenonim chloride, edrophonium chloride, tacrine, pralidoxime chloride, obidoxime chloride, trimedoxime bromide, diacetyl monoxim, endrophonium, pyridostigmine, and demecarium; an antiinflammatory agent, including, but not limited to, naproxen sodium, diclofenac sodium, diclofenac potassium, celecoxib, sulindac, oxaprozin, diflunisal, etodolac, meloxicam, ibuprofen, ketoprofen, nabumetone, refecoxib, methotrexate, leflunomide, sulfasalazine, gold salts, RHo-D Immune Globulin, mycophenylate mofetil, cyclosporine, azathioprine, tacrolimus, basiliximab, daclizumab, salicylic acid, acetylsalicylic acid, methyl salicylate, diflunisal, salsalate, olsalazine, sulfasalazine, acetaminophen, indomethacin, sulindac, mefenamic acid, meclofenamate sodium, tolmetin, ketorolac, dichlofenac, flurbinprofen, oxaprozin, piroxicam, meloxicam, ampiroxicam, droxicam, pivoxicam, tenoxicam, phenylbutazone, oxyphenbutazone, antipyrine, aminopyrine, apazone, zileuton, aurothioglucose, gold sodium thiomalate, auranofin, methotrexate, colchicine, allopurinol, probenecid, sulfinpyrazone and benzbromarone or betamethasone and other glucocorticoids; an antiemetic agent, for example, but not limited to, metoclopromide, domperidone, prochlorperazine, promethazine, chlorpromazine, trimethobenzamide, ondansetron, granisetron, hydroxyzine, acetylleucine monoethanolamine, alizapride, azasetron, benzquinamide, bietanautine, bromopride, buclizine, clebopride, cyclizine, dimenhydrinate, diphenidol, dolasetron, meclizine, methallatal, metopimazine, nabilone, oxyperndyl, pipamazine, scopolamine, sulpiride, tetrahydrocannabinol, thiethylperazine, thioproperazine, tropisetron, and mixtures thereof.

5.9. Compounds and Methods of Administering Compounds

Biologically active compounds identified using the methods of the invention or a pharmaceutically acceptable salt thereof can be administered to a patient, preferably a mammal, more preferably a human, suffering from a disorder associated with, characterized by or caused by premature translation termination and/or nonsense mediated mRNA decay. In a specific embodiment, a compound or a pharmaceutically acceptable salt thereof is administered to a patient, preferably a mammal, more preferably a human, as a preventative measure against a disorder associated with, characterized by or caused by premature translation termination and/or nonsense-mediated mRNA decay.

When administered to a patient, the compound or a pharmaceutically acceptable salt thereof is preferably administered as component of a composition that optionally comprise pharmaceutically acceptable vehicle. The composition can be administered orally, or by any other convenient route, for example, by infusion or bolus injection, by absorption through epithelial or mucocutaneous linings (e.g., oral mucosa, rectal, and intestinal mucosa, etc.) and may be administered together with another biologically active agent. Administration can be systemic or local. Various delivery systems are known, e.g., encapsulation in liposomes, microparticles, microcapsules, capsules, etc., and can be used to administer the compound and pharmaceutically acceptable salts thereof.

Methods of administration include but are not limited to intradermal, intramuscular, intraperitoneal, intravenous, subcutaneous, intranasal, epidural, oral, sublingual, intranasal, intracerebral, intravaginal, transdermal, rectally, by inhalation, or topically, particularly to the ears, nose, eyes, or skin. The mode of administration is left to the discretion of the practitioner. In most instances, administration will result in the release of the compound or a pharmaceutically acceptable salt thereof into the bloodstream.

In specific embodiments, it may be desirable to administer the compound or a pharmaceutically acceptable salt thereof locally. This may be achieved, for example, and not by way of limitation, by local infusion during surgery, topical application, e.g., in conjunction with a wound dressing after surgery, by injection, by means of a catheter, by means of a suppository, or by means of an implant, said implant being of a porous, nonporous, or gelatinous material, including membranes, such as sialastic membranes, or fibers.

In certain embodiments, it may be desirable to introduce the compound or a pharmaceutically acceptable salt thereof into the central nervous system by any suitable route, including intraventricular, intrathecal and epidural injection. Intraventricular injection may be facilitated by an intraventricular catheter, for example, attached to a reservoir, such as an Ommaya reservoir.

Pulmonary administration can also be employed, e.g., by use of an inhaler or nebulizer, and formulation with an aerosolizing agent, or via perfusion in a fluorocarbon or synthetic pulmonary surfactant. In certain embodiments, the compound and pharmaceutically acceptable salts thereof can be formulated as a suppository, with traditional binders and vehicles such as triglycerides.

In another embodiment, the compound and pharmaceutically acceptable salts thereof can be delivered in a vesicle, in particular a liposome (see Langer, 1990, Science 249:1527-1533; Treat et al., in Liposomes in the Therapy of Infectious Disease and Cancer, Lopez-Berestein and Fidler (eds.), Liss, New York, pp. 353-365 (1989); Lopez-Berestein, ibid., pp. 317-327; see generally ibid.).

In yet another embodiment, the compound and pharmaceutically acceptable salts thereof can be delivered in a controlled release system (see, e.g., Goodson, in Medical Applications of Controlled Release, supra, vol. 2, pp. 115-138 (1984)). Other controlled-release systems discussed in the review by Langer, 1990, Science 249:1527-1533 may be used. In one embodiment, a pump may be used (see Langer, supra; Sefton, 1987, CRC Crit. Ref. Biomed. Eng. 14:201; Buchwald et al., 1980, Surgery 88:507; Saudek et al., 1989, N. Engl. J. Med. 321:574). In another embodiment, polymeric materials can be used (see Medical Applications of Controlled Release, Langer and Wise (eds.), CRC Pres., Boca Raton, Fla. (1974); Controlled Drug Bioavailability, Drug Product Design and Performance, Smolen and Ball (eds.), Wiley, New York (1984); Ranger and Peppas, 1983, J. Macromol. Sci. Rev. Macromol. Chem. 23:61; see also Levy et al., 1985, Science 228:190; During et al., 1989, Ann. Neurol. 25:351; Howard et al., 1989, J. Neurosurg. 71:105). In yet another embodiment, a controlled-release system can be placed in proximity of a target RNA of the compound or a pharmaceutically acceptable salt thereof, thus requiring only a fraction of the systemic dose.

Compositions comprising the compound or a pharmaceutically acceptable salt thereof (“compound compositions”) can additionally comprise a suitable amount of a pharmaceutically acceptable vehicle so as to provide the form for proper administration to the patient.

In a specific embodiment, the term “pharmaceutically acceptable” means approved by a regulatory agency of the Federal or a state government or listed in the U.S. Pharmacopeia or other generally recognized pharmacopeia for use in animals, mammals, and more particularly in humans. The term “vehicle” refers to a diluent, adjuvant, excipient, or carrier with which a compound of the invention is administered. Such pharmaceutical vehicles can be liquids, such as water and oils, including those of petroleum, animal, vegetable or synthetic origin, such as peanut oil, soybean oil, mineral oil, sesame oil and the like. The pharmaceutical vehicles can be saline, gum acacia, gelatin, starch paste, talc, keratin, colloidal silica, urea, and the like. In addition, auxiliary, stabilizing, thickening, lubricating and coloring agents may be used. When administered to a patient, the pharmaceutically acceptable vehicles are preferably sterile. Water is a preferred vehicle when the compound of the invention is administered intravenously. Saline solutions and aqueous dextrose and glycerol solutions can also be employed as liquid vehicles, particularly for injectable solutions. Suitable pharmaceutical vehicles also include excipients such as starch, glucose, lactose, sucrose, gelatin, malt, rice, flour, chalk, silica gel, sodium stearate, glycerol monostearate, talc, sodium chloride, dried skim milk, glycerol, propylene, glycol, water, ethanol and the like. Compound compositions, if desired, can also contain minor amounts of wetting or emulsifying agents, or pH buffering agents.

Compound compositions can take the form of solutions, suspensions, emulsion, tablets, pills, pellets, capsules, capsules containing liquids, powders, sustained-release formulations, suppositories, emulsions, aerosols, sprays, suspensions, or any other form suitable for use. In one embodiment, the pharmaceutically acceptable vehicle is a capsule (see e.g., U.S. Pat. No. 5,698,155). Other examples of suitable pharmaceutical vehicles are described in Remington's Pharmaceutical Sciences, Alfonso R. Gennaro, ed., Mack Publishing Co. Easton, Pa., 19th ed., 1995, pp. 1447 to 1676, incorporated herein by reference.

In a preferred embodiment, the compound or a pharmaceutically acceptable salt thereof is formulated in accordance with routine procedures as a pharmaceutical composition adapted for oral administration to human beings. Compositions for oral delivery may be in the form of tablets, lozenges, aqueous or oily suspensions, granules, powders, emulsions, capsules, syrups, or elixirs, for example. Orally administered compositions may contain one or more agents, for example, sweetening agents such as fructose, aspartame or saccharin; flavoring agents such as peppermint, oil of wintergreen, or cherry; coloring agents; and preserving agents, to provide a pharmaceutically palatable preparation. Moreover, where in tablet or pill form, the compositions can be coated to delay disintegration and absorption in the gastrointestinal tract thereby providing a sustained action over an extended period of time. Selectively permeable membranes surrounding an osmotically active driving compound are also suitable for orally administered compositions. In these later platforms, fluid from the environment surrounding the capsule is imbibed by the driving compound, which swells to displace the agent or agent composition through an aperture. These delivery platforms can provide an essentially zero order-delivery profile as opposed to the spiked profiles of immediate release formulations. A time delay material such as glycerol monostearate or glycerol stearate may also be used. Oral compositions can include standard vehicles such as mannitol, lactose, starch, magnesium stearate, sodium saccharine, cellulose, magnesium carbonate, and the like. Such vehicles are preferably of pharmaceutical grade. Typically, compositions for intravenous administration comprise sterile isotonic aqueous buffer. Where necessary, the compositions may also include a solubilizing agent.

In another embodiment, the compound or a pharmaceutically acceptable salt thereof can be formulated for intravenous administration. Compositions for intravenous administration may optionally include a local anesthetic such as lignocaine to lessen pain at the site of the injection. Generally, the ingredients are supplied either separately or mixed together in unit dosage form, for example, as a dry lyophilized powder or water-free concentrate in a hermetically sealed container such as an ampoule or sachette indicating the quantity of active agent. Where the compound or a pharmaceutically acceptable salt thereof is to be administered by infusion, it can be dispensed, for example, with an infusion bottle containing sterile pharmaceutical grade water or saline. Where the compound or a pharmaceutically acceptable salt thereof is administered by injection, an ampoule of sterile water for injection or saline can be provided so that the ingredients may be mixed prior to administration.

The amount of a compound or a pharmaceutically acceptable salt thereof that will be effective in the treatment of a particular disease will depend on the nature of the disease, and can be determined by standard clinical techniques. In addition, in vitro or in vivo assays may optionally be employed to help identify optimal dosage ranges. The precise dose to be employed will also depend on the route of administration, and the seriousness of the disease, and should be decided according to the judgment of the practitioner and each patient's circumstances. However, suitable dosage ranges for oral administration are generally about 0.001 milligram to about 500 milligrams of a compound or a pharmaceutically acceptable salt thereof per kilogram body weight per day. In specific preferred embodiments of the invention, the oral dose is about 0.01 milligram to about 100 milligrams per kilogram body weight per day, more preferably about 0.1 milligram to about 75 milligrams per kilogram body weight per day, more preferably about 0.5 milligram to 5 milligrams per kilogram body weight per day. The dosage amounts described herein refer to total amounts administered; that is, if more than one compound is administered, or if a compound is administered with a therapeutic agent, then the preferred dosages correspond to the total amount administered. Oral compositions preferably contain about 10% to about 95% active ingredient by weight.

Suitable dosage ranges for intravenous (i.v.) administration are about 0.01 milligram to about 100 milligrams per kilogram body weight per day, about 0.1 milligram to about 35 milligrams per kilogram body weight per day, and about 1 milligram to about 10 milligrams per kilogram body weight per day. Suitable dosage ranges for intranasal administration are generally about 0.01 pg/kg body weight per day to about 1 mg/kg body weight per day. Suppositories generally contain about 0.01 milligram to about 50 milligrams of a compound of the invention per kilogram body weight per day and comprise active ingredient in the range of about 0.5% to about 10% by weight.

Recommended dosages for intradermal, intramuscular, intraperitoneal, subcutaneous, epidural, sublingual, intracerebral, intravaginal, transdermal administration or administration by inhalation are in the range of about 0.001 milligram to about 200 milligrams per kilogram of body weight per day. Suitable doses for topical administration are in the range of about 0.001 milligram to about 1 milligram, depending on the area of administration. Effective doses may be extrapolated from dose-response curves derived from in vitro or animal model test systems. Such animal models and systems are well known in the art.

The compound and pharmaceutically acceptable salts thereof are preferably assayed in vitro and in vivo, for the desired therapeutic or prophylactic activity, prior to use in humans. For example, in vitro assays can be used to determine whether it is preferable to administer the compound, a pharmaceutically acceptable salt thereof, and/or another therapeutic agent. Animal model systems can be used to demonstrate safety and efficacy.

6. EXAMPLE Preparation of Extracts from Hela Cells for in vitro Translation Reactions

This Example describes a method of preparing a cell extract to perform in vitro translation reactions to monitor nonsense suppression or to produce proteins in vitro. This method is different from other methods used to prepare translation extracts for several reasons. First, the centrifugation step is performed at low speed (12000×g) compared to most other protocols that use a 100,000×g spin; and second, the cells are incubated on ice for several hours to weeks, which increases the activity of the extract significantly.

6.1. Preparation of Translation Extract from Hela Cells

HeLa S3 cells were grown to a density of 10⁶ cells/ml in DMEM; 5% CO₂, 10% FBS, 1×P/S in a spinner flask. Cells were harvested by spinning at 1000×g. Cells were washed twice with phosphate buffered saline. The cell pellet sat on ice for 12 to 24 hours before proceeding. By letting the cells sit on ice, the activity of the extract is increased two-fold. The length of time on ice can range from 0 hours to 1 week. The cells were resuspended in 1.5 volumes (packed cell volume) of hypotonic buffer (10 mM HEPES (KOH) pH 7.4; 15 mM KCl; 1.5 mM Mg(OAc)₂; 0.5 mM Pefabloc (Roche); 2 mM DTT). Cells were allowed to swell for 5 minutes on ice and dounce homogenized with 10 to 100 strokes using a tight-fitting pestle. The cells were spun for 10 minutes at 12000×g at 4° C. in a Sorvall SS-34 rotor. The supernatant was carefully collected with a Pasteur pipet without disturbing the lipid layer and transferred into Eppendorf tubes (50-200 mL aliquots) and immediately frozen in liquid nitrogen. FIG. 1 shows the amount of wild-type luciferase produced in an in vitro translation reaction when the amount of wild-type luciferase RNA and the amount of HeLa cell extract are varied. FIG. 2 shows the amount of wild-type luciferase produced in an in vitro translation reaction when the amount of luciferase RNA containing the nonsense mutation RGA and the amount of the cell are varied.

6.2 Incubating Cells on Ice Improves Translation Activity of Extract

As shown in FIG. 3, incubating cells on ice prior to preparation of the translation extract improves the translation activity up to 20 fold. Further, in the presence of the aminoglycoside gentamicin, nonsense suppression activity (as measured by the amount of luciferase activity produced from a luciferase RNA containing a UGA premature termination codon) is increased 2 to 3 fold above untreated extracts (see FIG. 4). These results demonstrate that extracts prepared by this method actively translate wild type RNA as well as mediate nonsense suppression.

7. EXAMPLE Identification and Characterization of Compound that Promote Nonsense Suppression and/or Modulate Translation Termination 7.1. Development of Assays for High Throughput Screens

Two assays were developed for use in high throughput screens to identify small molecules that promote nonsense suppression. Each assay utilized luciferase because it is a functional reporter gene assay (light is only produced if the protein is functional) and it is extremely sensitive (Light intensity is proportional to luciferase concentration in the nM range). The first assay was a cell-based luciferase reporter assay and the second was a biochemical assay consisting of rabbit reticulocyte lysate and a nonsense-containing luciferase reporter mRNA. In the cell-based assay, a luciferase reporter construct containing a UGA premature termination codon was stably transfected in 293T Human Embryonic Kidney cells. In the biochemical assay, mRNA containing a UGA premature termination codon was used as a reporter in an in vitro translation reaction using rabbit reticulocyte lysate supplemented with tRNA, hemin, creatine kinase, amino acids, KOAc, Mg(OAc)₂, and creatine phosphate. Translation of the mRNA was initiated within a virus derived leader sequence, which significantly reduced the cost of the assay because capped RNA was not required. Synthetic mRNA was prepared in vitro using the T7 promoter and the MegaScript in vitro transcription kit (Ambion). In both of the biochemical and cell-based assays, addition of gentamicin, a small molecule known to allow readthrough of premature termination codons, resulted in increased luciferase activity and was, therefore, used as an internal standard.

7.2. Screening of a Chemical Library Using the Nonsense Suppression Assays

The assays described above in Section 7.1 were used in two high throughput screens. Approximately eight hundred thousand compounds were screened in the cell-based and biochemical assays. From these initial screens two hundred hits were retested with both luciferase assays and seven compounds were subsequently selected for further investigation. These compounds fall into four classes of scaffolds. One class of compound is a nucleoside analog; the second class is a quinazoline compound; the third class is an oxadiazole compound similar to diarylfuran antibiotics; and the final class is a unique scaffold harboring one or more phenyl, amide, or similar functional groups. Interestingly, none of the compounds are similar in structure to gentamicin. Compound A (molecular formula C₁₉H₂₁NO₄), a member of the fourth class and Compound B (molecular formula C₁₉H₁₈N₂O₄), a compound synthesized independently of the screen, because of its potential RNA binding properties were the focus of subsequent attention.

7.3. Compound A and Compound B Increase in vitro Nonsense Suppression at UGA Codons

Based on the results of the high throughput screen, Compound A was characterized further with the in vitro luciferase nonsense suppression assay. To ensure that the observed nonsense suppression activity of the selected compounds was not limited to the rabbit reticulocyte assay system, HeLa cell extract was prepared and optimized (Lie & Macdonald, 1999, Development 126(22):4989-4996 and Lie & Macdonald, 2000, Biochem. Biophys. Res. Commun. 270(2):473-481). FIG. 5 shows that Compound A and Compound B exhibit greater nonsense suppression activity of the UGA codon than gentamicin in the HeLa cell translation extracts.

7.4. Characterization of Compounds that Increase Nonsense Suppression and Product Function Protein

Compound A and Compound B increase the level of nonsense suppression in the biochemical assay three to four fold over untreated extracts. To determine whether these compounds also function in vivo, a stable cell line harboring the UGA nonsense-containing luciferase gene was treated with each compound. Cells were grown in standard medium supplemented with 1% penicillin-streptomycin (P/S) and 10% fetal bovine serum (FBS) to 70% confluency and split 1:1 the day before treatment. On the following day, cells were trypsinized and 40,000 cells were added to each well of a 96-well tissue culture dish. Serial dilutions of each compound were prepared to generate a six-point dose response curve spanning 2 logs (30 μM to 0.3 μM). The final concentration of the DMSO solvent remained constant at 1% in each well. Cells treated with 1% DMSO served as the background standard, and cells treated with gentamicin served as a positive control. As shown in FIG. 6, these two compounds are more potent and efficacious than gentamicin at these concentrations.

Cells were transiently transfected with plasmids harboring the UGA, UAA or UAG nonsense alleles of luciferase in each codon context (UGAA, UGAC, UGAG, UGAU, UAGA, UAGC, UAGG, UAGU, UAAA, UAAC, UAAG, and UAAU) then the cells were treated overnight with Compound A, and gentamicin. The following day, the level of suppression was determined by measuring the amount of luminescence produced. The fold suppression above control cells treated with solvent was calculated and is numerically reported. The results are presented in Table 2 and FIG. 6B.

TABLE 2 Gentamicin Compound A Context 3 mg/ml 10 uM UAAA 0.71 0.17 UAAC 2.32 0.67 UAAG 0.01 0.02 UAAU 0.92 0.33 UAGA 1.31 0.64 UAGC 2.16 3.05 UAGG 0.64 0.51 UAGU 0.54 0.31 UGAA 0.76 0.4 UGAC 1.91 2.96 UGAG 0.45 0.23 UGAU 6.74 1.67

7.5. Compound A Alters the Accessibility of the Chemical Modifying Agents to Specific Nucleotides in the 28S rRNA

Previous studies have demonstrated that gentamicin and other members of the aminoglycoside family that decrease the fidelity of translation bind to the A site of the 16S rRNA. By chemical footprinting, UV cross-linking and NMR, gentamicin has been shown to bind at the A site (comprised of nucleotides 1400-1410 and 1490-1500, E. coli numbering) of the rRNA at nucleotides 1406, 1407, 1494, and 1496 (Moazed & Noller, 1987, Nature 327(6121):389-394; Woodcock et al., 1991, EMBO J. 10(10):3099-3103; and Schroeder et al., 2000). These observations prompted us to determine whether similar experiments could provide information on the mechanism of action of Compound A. To do this, ribosomes prepared from HeLa cells were incubated with the small molecules (at a concentration of 100 μM), followed by treatment with chemical modifying agents (dimethyl sulfate [DMS] and kethoxal [KE]). Following chemical modification, rRNA was phenol-chloroform extracted, ethanol precipitated, analyzed in primer extension reactions using end-labeled oligonucleotides hybridizing to different regions of the three rRNAs and resolved on 6% polyacrylamide gels. The probes used for primer extension cover the entire 18S (7 oligonucleotide primers), 28S (24 oligonucleotide primers), and 5S (one primer) rRNAs. Controls in these experiments include DMSO (a control for changes in rRNA accessibility induced by DMSO), paromomycin (a marker for 18S rRNA binding), and anisomycin (a marker for 28S rRNA binding).

The results of these foot-printing experiments indicated that Compound A alters the accessibility of the chemical modifying agents to specific nucleotides in the 28S rRNA. More specifically, the regions protected by Compound A include: (1) a conserved region in the vicinity of the peptidyl transferase center (domain V) implicated in peptide bond formation (see FIG. 7A) and (2) a conserved region in domain II that may interact with the peptidyl transferase center based on binding of vemamycmin B to both these areas (Vannuffel et al., 1994, Nucleic Acids Res. 22(21):4449-4453; see FIG. 7B).

7.6. Compound A Causes Readthrough of Premature Termination Codons in Cell-based Disease Models

To address the effects of the nonsense-suppressing compounds on mRNAs altered in specific inherited diseases, a bronchial epithelial cell line harboring a nonsense codon at amino acid 1282 (W1282X) was treated with Compound A (20 μM) and CFTR function was monitored as a cAMP-activated chloride channel using the SPQ assay (Yang et al., 1993, Hum Mol Genet. 2(8):1253-1261 and Howard et al., 1996, Nat Med. 2(4):467-469). These experiments showed that cAMP treatment of these cells resulted in an increase in SPQ fluorescence, consistent with stimulation of CFTR-mediated halide efflux (FIG. 8). No increase in fluorescence was observed when cells were not treated with compound or if the cells were not stimulated with cAMP. These results indicate that the full-length CFTR expressed from this nonsense-containing allele following compound treatment also functions as a cAMP-stimulated anion channel, thus demonstrating that cystic fibrosis cell lines increase chloride channel activity when treated with Compound A.

7.7. Primary Cells from the mdx Nonsense-containing Mouse Express Full-length Dystrophin Protein when Treated with Compound A

The mutation in the mdx mouse that premature termination of the 427 kDa dystrophin polypeptide has been shown to be a C to T transition at position 3185 in exon 23 (Sicinski et al., 1989, Science. 244(4912):1578-1580). Mouse primary skeletal muscle cultures derived from 1-day old mdx mice were prepared as described previously (Barton-Davis et al., 1999, J Clin Invest. 104(4):375-381). Cells were cultured for 10 days in the presence of Compound A (20 μM). Culture medium was replaced every four days and the presence of dystrophin in myoblast cultures was detected by immunostaining as described previously (Barton-Davis et al., 1999, J Clin Invest. 104(4):375-381). A primary monoclonal antibody to the C-terminus of the dystrophin protein (F19A12) was used undiluted and rhodamine conjugated anti-mouse IgG was used as the secondary antibody. The F19A12 antibody will detect the full-length protein produced by suppression of the nonsense codon. Staining was viewed using a Leica DMR micropscope, digital camera, and associated imaging software at the University of Pennsylvania. As shown in FIG. 9, full-length dystrophin protein is produced and localized to the muscle myotubes in cultures treated with 20 μM Compound A and gentamicin (200 μM). In addition, cells from untreated cultures exhibited minimal staining. These results indicate that full-length dystrophin protein is produced as a consequence of nonsense suppression.

7.8. Compound A and Compound B Cause Readthrough of Premature Termination Codons in the mdx Mouse

Since the results of the mdx cell culture experiments demonstrated production of full-length dystrophin in cells treated with Compound A, it was asked whether suppression of the nonsense codon in the mdx mouse could be observed. As previously described (Barton-Davis et al., 1999, J Clin Invest. 104(4):375-381), compound was delivered by Alzet osmotic pumps implanted under the skin of anesthetized mice. Two doses of Compound A were administered. Gentamicin served as a positive control and pumps filled with solvent only served as the negative control. Pumps were loaded with appropriate compound such that the calculated doses to which tissue was exposed were 10 μM and 20 μM. The gentamicin concentration was calculated to achieve tissue exposure of approximately 200 μM. In the initial experiment, mice were treated for 14 days, after which animals were anesthetized with ketamine and exsanguinated. The tibialis anterior (TA) muscle of the experimental animals was then excised, frozen, and used for immunofluorescence analysis of dystrophin incorporation into striated muscle. The presence of dystrophin in TA muscles was detected by immunostaining, as described previously (Barton-Davis et al., 1999, J Clin Invest. 104(4):375-381; see mdx primary cells in Section 7.8 supra). As shown in FIG. 10, these experiments demonstrated that mice treated with both concentrations of compound elicited production of full-length dystrophin. Importantly, a significant portion of the full-length dystrophin protein was properly localized to the membrane. These important results demonstrate that Compound A can function in an animal model.

8. HUMAN DISEASE GENES SORTED BY CHROMOSOME

TABLE 3 Genes, Locations and Genetic Disorders on Chromosome 1 Gene GDB Accession ID OMIM Link ABCA4 GDB: 370748 MACULAR DEGENERATION, SENILE STARGARDT DISEASE 1; STGD1 ATP BINDING CASSETTE TRANSPORTER; ABCR RETINITIS PIGMENTOSA-19; RP19 ABCD3 GDB: 131485 PEROXISOMAL MEMBRANE PROTEIN 1; PXMP1 ACADM GDB: 118958 ACYL-CoA DEHYDROGENASE, MEDIUM-CHAIN; ACADM AGL GDB: 132644 GLYCOGEN STORAGE DISEASE III AGT GDB: 118750 ANGIOTENSIN I; AGT ALDH4A1 GDB: 9958827 HYPERPROLINEMIA, TYPE II ALPL GDB: 118730 PHOSPHATASE, LIVER ALKALINE; ALPL HYPOPHOSPHATASIA, INFANTILE AMPD1 GDB: 119677 ADENOSINE MONOPHOSPHATE DEAMINASE-1; AMPD1 APOA2 GDB: 119685 APOLEPOPROTEIN A-II; APOA2 AVSD1 GDB: 265302 ATRIOVENTRICULAR SEPTAL DEFECT; AVSD BRCD2 GDB: 9955322 BREAST CANCER, DUCTAL, 2; BRCD2 C1QA GDB: 119042 COMPLEMENT COMPONENT 1, q SUBCOMPONENT, ALPHA POLYPEPTIDE; C1QA C1QB GDB: 119043 COMPLEMENT COMPONENT 1, q SUBCOMPONENT, BETA POLYPEPTIDE; C1QB C1QG GDB: 128132 COMPLEMENT COMPONENT 1, q SUBCOMPONENT, GAMMA POLYPEPTIDE; C1QG C8A GDB: 119735 COMPLEMENT COMPONENT-8, DEFICIENCY OF C8B GDB: 119736 COMPLEMENT COMPONENT-8, DEFICIENCY OF, TYPE II CACNA1S GDB: 126431 CALCIUM CHANNEL, VOLTAGE-DEPENDENT, L TYPE, ALPHA IS SUBUNIT; CACNA1S PERIODIC PARALYSIS I MALIGNANT HYPERTHERMIA SUSCEPTIBILITY-5; MHS5 CCV GDB: 1336655 CATARACT, CONGENITAL, VOLKMANN TYPE; CCV CD3Z GDB: 119766 CD3Z ANTIGEN, ZETA POLYPEPTIDE; CD3Z CDC2L1 GDB: 127827 PROTEIN KINASE p58; PK58 CHML GDB: 135222 CHOROIDEREMIA-LIKE; CHML CHS1 GDB: 4568202 CHEDIAK-HIGASHI SYNDROME; CHS1 CIAS1 GDB: 9957338 COLD HYPERSENSITIVITY URTICARIA, DEAFNESS, AND AMYLOIDOSIS CLCNKB GDB: 698472 CHLORIDE CHANNEL, KIDNEY, B; CLCNKB CMD1A GDB: 434478 CARDIOMYOPATHY, DILATED 1A; CMD1A CMH2 GDB: 137324 CARDIOMYOPATHY, FAMILIAL HYPERTROPHIC, 2; CMH2 CMM GDB: 119059 MELANOMA, MALIGNANT COL11A1 GDB: 120595 COLLAGEN, TYPE XI ALPHA-1; COL11A1 COL9A2 GDB: 138310 COLLAGEN, TYPE IX, ALPHA-2 CHAIN; COL9A2 EPIPHYSEAL DYSPLASIA, MULTIPLE, 2; EDM2 CPT2 GDB: 127272 MYOPATHY WITH DEFICIENCY OF CARNITINE PALMITOYLTRANSFERASE II HYPOGLYCEMIA, HYPOKETOTIC, WITH DEFICIENCY OF CARNITINE PALMITOYLTRANSFERASE CARNITINE PALMITOYLTRANSFERASE II; CPT2 CRB1 GDB: 333930 RETINITIS PIGMENTOSA-12; RP12 CSE GDB: 596182 CHOREOATHETOSIS/SPASTICITY, EPISODIC; CSE CSF3R GDB: 126430 COLONY STIMULATING FACTOR 3 RECEPTOR, GRANULOCYTE; CSF3R CTPA GDB: 9863168 CATARACT, POSTERIOR POLAR CTSK GDB: 453910 PYCNODYSOSTOSIS CATHEPSIN K; CTSK DBT GDB: 118784 MAPLE SYRUP URINE DISEASE, TYPE 2 DIO1 GDB: 136449 THYROXINE DEIODINASE TYPE I; TXDI1 DISC1 GDB: 9992707 DISORDER-2; SCZD2 DPYD GDB: 364102 DIHYDROPYRIMIDINE DEHYDROGENASE; DPYD EKV GDB: 119106 ERYTHROKERATODERMIA VARIABILIS; EKV ENO1 GDB: 119871 PHOSPHOPYRUVATE HYDRATASE; PPH ENO1P GDB: 135006 PHOSPHOPYRUVATE HYDRATASE; PPH EPB41 GDB: 119865 ERYTHROCYTE MEMBRANE PROTEIN BAND 4.1; EPB41 HEREDITARY HEMOLYTIC EPHX1 GDB: 119876 EPOXIDE HYDROLASE 1, MICROSOMAL; EPHX1 F13B GDB: 119893 FACTOR XIII, B SUBUNIT; F13B F5 GDB: 119896 FACTOR V DEFICIENCY FCGR2A GDB: 119903 Fc FRAGMENT OF IgG, LOW AFFINITY IIa, RECEPTOR FOR; FCGR2A FCGR2B GDB: 128183 Fc FRAGMENT OF IgG, LOW AFFINITY IIa, RECEPTOR FOR; FCGR2A FCGR3A GDB: 119904 Fc FRAGMENT OF IgG, LOW AFFINITY IIIa, RECEPTOR FOR; FCGR3A FCHL GDB: 9837503 HYPERLIPIDEMIA, COMBINED FH GDB: 119133 FUMARATE HYDRATASE; FH LEIOMYOMATA, HEREDITARY MULTIPLE, OF SKIN FMO3 GDB: 135136 FLAVIN-CONTAINING MONOOXYGENASE 3; FMO3 TRIMETHYLAMINURIA FMO4 GDB: 127981 FLAVIN-CONTAINING MONOOXYGENASE 2; FMO2 FUCA1 GDB: 119237 FUCOSIDOSIS FY GDB: 119242 BLOOD GROUP-DUFFY SYSTEM; Fy GALE GDB: 119245 GALACTOSE EPIMERASE DEFICIENCY GBA GDB: 119262 GAUCHER DISEASE, TYPE I; GD I GFND GDB: 9958222 GLOMERULAR NEPHRITIS, FAMILIAL, WITH FIBRONECTIN DEPOSITS GJA8 GDB: 696369 CATARACT, ZONULAR PULVERULENT 1; CZP1 GAP JUNCTION PROTEIN, ALPHA-8, 50-KD; GJA8 GJB3 GDB: 127820 ERYTHROKERATODERMIA VARIABILIS; EKV DEAFNESS, AUTOSOMAL DOMINANT NONSYNDROMIC SENSORINEURAL, 2; DFNA2 GLC3B GDB: 3801939 GLAUCOMA 3, PRIMARY INFANTILE, B; GLC3B HF1 GDB: 120041 H FACTOR 1; HF1 HMGCL GDB: 138445 HYDROXYMETHYLGLUTARICACIDURIA; HMGCL HPC1 GDB: 5215209 PROSTATE CANCER; PRCA1 PROSTATE CANCER, HEREDITARY 1 HRD GDB: 9862254 HYPOPARATHYROIDISM WITH SHORT STATURE, MENTAL RETARDATION, AND SEIZURES HRPT2 GDB: 125253 HYPERPARATHYROIDISM, FAMILIAL PRIMARY, WITH MULTIPLE OSSIFYING JAW HSD3B2 GDB: 134044 ADRENAL HYPERPLASIA II HSPG2 GDB: 126372 HEPARAN SULFATE PROTEOGLYCAN OF BASEMENT MEMBRANE; HSPG2 MYOTONIC MYOPATHY, DWARFISM, CHONDRODYSTROPHY, AND OCULAR AND FACIAL KCNQ4 GDB: 439046 DEAFNESS, AUTOSOMAL DOMINANT NONSYNDROMIC SENSORINEURAL, 2; DFNA2 KCS GDB: 9848740 KENNY-CAFFEY SYNDROME, RECESSIVE FORM KIF1B GDB: 128645 CHARCOT-MARIE-TOOTH DISEASE, NEURONAL TYPE, A; CMT2A LAMB3 GDB: 251820 LAMININ, BETA 3; LAMB3 LAMC2 GDB: 136225 LAMININ, GAMMA 2; LAMC2 EPIDERMOLYSIS BULLOSA LETALIS LGMD1B GDB: 231606 MUSCULAR DYSTROPHY, LIMB-GIRDLE, TYPE 1B; LGMD1B LMNA GDB: 132146 LAMIN A/C; LMNA LIPODYSTROPHY, FAMILIAL PARTIAL, DUNNIGAN TYPE; LDP1 LOR GDB: 132049 LORICRIN; LOR MCKD1 GDB: 9859381 POLYCYSTIC KIDNEYS, MEDULLARY TYPE MCL1 GDB: 139137 MYELOID CELL LEUKEMIA 1; MCL1 MPZ GDB: 125266 HYPERTROPHIC NEUROPATHY OF DEJERINE-SOITAS MYELIN PROTEIN ZERO; MPZ MTHFR GDB: 370882 5,10-@METHYLENETETRAHYDROFOLATE REDUCTASE; MTHFR MTR GDB: 119440 METHYLTETRAHYDROFOLATE:L- HOMOCYSTEINE S-METHYLTRANSFERASE; MTR MUTYH GDB: 9315115 ADENOMATOUS POLYPOSIS OF THE COLON; APC MYOC GDB: 5584221 GLAUCOMA 1, OPEN ANGLE; GLC1A MYOCILIN; MYOC NB GDB: 9958705 NEUROBLASTOMA; NB NCF2 GDB: 120223 GRANULOMATOUS DISEASE, CHRONIC, AUTOSOMAL CYTOCHROME-b-POSITIVE FORM NEM1 GDB: 127387 NEMALINE MYOPATHY 1, AUTOSOMAL DOMINANT; NEM1 NPHS2 GDB: 9955617 ARRHYTHMOGENIC RIGHT VENTRICULAR DYSPLASIA, FAMILIAL, 2; ARVD2 NPPA GDB: 118727 NATRIURETIC PEPTIDE PRECURSOR A; NPPA NRAS GDB: 119457 ONCOGENE NRAS; NRAS; NRAS1 NTRK1 GDB: 127897 ONCOGENE TRK NEUROTROPHIC TYROSINE KINASE, RECEPTOR, TYPE 1; NTRK1 NEUROPATHY, CONGENITAL SENSORY, WITH ANHIDROSIS OPTA2 GDB: 9955577 OSTEOPETROSIS, AUTOSOMAL DOMINANT, TYPE II; OPA2 PBX1 GDB: 125351 PRE-B-CELL LEUKEMIA TRANSCRIPTION FACTOR-1; PBX1 PCHC GDB: 9955586 PHEOCHROMOCYTOMA PGD GDB: 119486 6-@PHOSPHOGLUCONATE DEHYDROGENASE, ERYTHROCYTE PHA2A GDB: 9955628 PSEUDOHYPOALDOSTERONISM, TYPE II; PHA2 PHGDH GDB: 9958261 3-@PHOSPHOGLYCERATE DEHYDROGENASE DEFICIENCY PKLR GDB: 120294 PYRUVATE KINASE DEFICIENCY OF ERYTHROCYTE PKP1 GDB: 4249598 PLAKOPHILIN 1; PKP1 PLA2G2A GDB: 120296 PHOSPHOLIPASE A2, GROUP IIA; PLA2G2A PLOD GDB: 127821 PROCOLLAGEN-LYSINE, 2-OXOGLUTARATE 5-DIOXYGENASE; PLOD EHLERS-DANLOS SYNDROME, TYPE VI; E-D VI; EDS VI PPOX GDB: 118852 PROTOPORPHYRINOGEN OXIDASE; PPOX PPT GDB: 125227 CEROID-LIPOFUSCINOSIS, NEURONAL 1, INFANTILE; CLN1 PALMITOYL-PROTEIN THIOESTERASE; PPT PRCC GDB: 3888215 PAPILLARY RENAL CELL CARCINOMA; PRCC PRG4 GDB: 9955719 ARTHROPATHY-CAMPTODACTYLY SYNDROME PSEN2 GDB: 633044 ALZHEIMER DISEASE, FAMILIAL, TYPE 4; AD4 PTOS1 GDB: 6279920 PTOSIS, HEREDITARY CONGENITAL 1; PTOS1 REN GDB: 120345 RENIN; REN RFX5 GDB: 6288464 REGULATORY FACTOR 5; RFX5 RHD GDB: 119551 RHESUS BLOOD GROUP, D ANTIGEN; RHD RMD1 GDB: 448902 RIPPLING MUSCLE DISEASE-1; RMD1 RPE65 GDB: 226519 RETINAL PIGMENT EPITHELIUM-SPECIFIC PROTEIN, 65-KD; RPE65 AMAUROSIS CONGENITA OF LEBER II SCCD GDB: 9955558 CORNEAL DYSTROPHY, CRYSTALLINE, OF SCHNYDER SERPINC1 GDB: 119024 ANTITHROMBIN III DEFICIENCY SJS1 GDB: 1381631 MYOTONIC MYOPATHY, DWARFISM, CHONDRODYSTROPHY, AND OCULAR AND FACIAL SLC19A2 GDB: 9837779 THIAMINE-RESPONSIVE MEGALOBLASTIC ANEMIA SYNDROME SLC2A1 GDB: 120627 SOLUTE CARRIER FAMILY 2, MEMBER 1; SLC2A1 SPTA1 GDB: 119601 ELLIPTOCYTOSIS, RHESUS-UNLINKED TYPE HEREDITARY HEMOLYTIC SPECTRIN, ALPHA, ERYTHROCYTIC 1; SPTA1 TAL1 GDB: 120759 T-CELL ACUTE LYMPHOCYTIC LEUKEMIA 1; TAL1 TNFSF6 GDB: 422178 APOPTOSIS ANTIGEN LIGAND 1; APT1LG1 TNNT2 GDB: 221879 TROPONIN-T2, CARDIAC; TNNT2 TPM3 GDB: 127872 ONCOGENE TRK TROPOMYOSIN 3; TPM3 TSHB GDB: 120467 THYROID-STIMULATING HORMONE, BETA CHAIN; TSHB UMPK GDB: 120481 URIDINE MONOPHOSPHATE KINASE; UMPK UOX GDB: 127539 URATE OXIDASE; UOX UROD GDB: 119628 PORPHYRIA CUTANEA TARDA; PCT USH2A GDB: 120483 USHER SYNDROME, TYPE II; USH2 VMGLOM GDB: 9958134 GLOMUS TUMORS, MULTIPLE VWS GDB: 120532 CLEFT LIP AND/OR PALATE WITH MUCOUS CYSTS OF LOWER LIP WS2B GDB: 407579 WAARDENBURG SYNDROME, TYPE 2B; WS2B

TABLE 4 Genes, Locations and Genetic Disorders on Chromosome 2 Gene GDB Accession ID Location OMIM Link ABCB11 GDB: 9864786 2q24—2q24 CHOLESTASIS, PROGRESSIVE 2q24.3—2q24.3 FAMILIAL INTRAHEPATIC 2; PFIC2 ABCG5 GDB: 10450298 2p21—2p21 PHYTOSTEROLEMIA ABCG8 GDB: 10450300 2p21—2p21 PHYTOSTEROLEMIA ACADL GDB: 118745 2q34-2q35 ACYL-CoA DEHYDROGENASE, LONG-CHAIN, DEFICIENCY OF ACP1 GDB: 118962 2p25—2p25 PHOSPHATASE, ACID, OF ERYTHROCYTE; ACP1 AGXT GDB: 127113 2q37.3—2q37.3 OXALOSIS I AHHR GDB: 118984 2pter-2q31 CYTOCHROME P450, SUBFAMILY I, POLYPEPTIDE 1; CYP1A1 ALMS1 GDB: 9865539 2p13-2p12 ALSTROM SYNDROME 2p14-2p13 2p13.1—2p13.1 ALPP GDB: 119672 2q37.1—2q37.1 ALKALINE PHOSPHATASE, PLACENTAL; ALPP ALS2 GDB: 135696 2q33-2q35 AMYOTROPHIC LATERAL SCLEROSIS 2, JUVENILE; ALS2 APOB GDB: 119686 2p24-2p23 APOLIPOPROTEIN B; APOB 2p24—2p24 BDE GDB: 9955730 2q37—2q37 BRACHYDACTYLY, TYPE E; BDE BDMR GDB: 533064 2q37—2q37 BRACHYDACTYLY-MENTAL RETARDATION SYNDROME; BDMR BJS GDB: 9955717 2q34-2q36 TORTI AND NERVE DEAFNESS BMPR2 GDB: 642243 2q33—2q33 PULMONARY HYPERTENSION, 2q33-2q34 PRIMARY; PPH1 BONE MORPHOGENETIC RECEPTOR TYPE II; BMPR2 CHRNA1 GDB: 120586 2q24-2q32 CHOLINERGIC RECEPTOR, NICOTINIC, ALPHA POLYPEPTIDE 1; CHRNA1 CMCWTD GDB: 11498919 2p22.3-2p21 FAMILIAL CHRONIC MUCOCUTANEOUS, DOMINANT TYPE CNGA3 GDB: 434398 2q11.2—2q11.2 COLORBLINDNESS, TOTAL CYCLIC NUCLEOTIDE GATED CHANNEL, OLFACTORY, 3; CNG3 COL3A1 GDB: 118729 2q31-2q32.3 COLLAGEN, TYPE III; COL3A1 2q32.2—2q32.2 EHLERS-DANLOS SYNDROME, TYPE IV, AUTOSOMAL DOMINANT COL4A3 GDB: 128351 2q36-2q37 COLLAGEN, TYPE IV, ALPHA-3 CHAIN; COL4A3 COL4A4 GDB: 132673 2q35-2q37 COLLAGEN, TYPE IV, ALPHA-4 CHAIN; COL4A4 COL6A3 GDB: 119066 2q37.3—2q37.3 COLLAGEN, TYPE VI, ALPHA-3 CHAIN; COL6A3 MYOPATHY, BENIGN CONGENITAL, WITH CONTRACTURES CPS1 GDB: 119799 2q33-2q36 HYPERAMMONEMIA DUE TO 2q34-2q35 CARBAMOYLPHOSPHATE 2q35—2q35 SYNTHETASE I DEFICIENCY CRYGA GDB: 119076 2q33-2q35 CRYSTALLIN, GAMMA A; CRYGA CRYGEP1 GDB: 119808 2q33-2q35 CRYSTALLIN, GAMMA A; CRYGA CYP1B1 GDB: 353515 2p21—2p21 GLAUCOMA 3, PRIMARY 2p22-2p21 INFANTILE, A; GLC3A 2pter—2qter CYTOCHROME P450, SUBFAMILY I (DIOXIN-INDUCIBLE), POLYPEPTEDE 1; CYP1B1 CYP27A1 GDB: 128129 2q33-2qter CEREBROTENDINOUS XANTHOMATOSIS DBI GDB: 119837 2q12-2q21 DIAZEPAM BINDING INHIBITOR; DBI DES GDB: 119841 2q35—2q35 DESMIN; DES DYSF GDB: 340831 2p—2p MUSCULAR DYSTROPHY, 2p13—2p13 LIMB-GIRDLE, TYPE 2B; 2pter-2p12 LGMD2B MUSCULAR DYSTROPHY, LATE-ONSET DISTAL EDAR GDB: 9837372 2q11-2q13 DYSPLASIA, HYPOHIDROTIC ECTODERMAL DYSPLASIA, ANHIDROTIC EFEMP1 GDB: 1220111 2p16—2p16 DOYNE HONEYCOMB DEGENERATION OF RETINA FIBRILLIN-LIKE; FBNL EIF2AK3 GDB: 9956743 2p12—2p12 EPIPHYSEAL DYSPLASIA, MULTIPLE, WITH EARLY-ONSET DIABETES MELLITUS ERCC3 GDB: 119881 2q21—2q21 EXCISION-REPAIR, COMPLEMENTING DEFECTIVE, IN CHINESE HAMSTER, 3; ERCC3 FSHR GDB: 127510 2p21-2p16 FOLLICLE-STIMULATING HORMONE RECEPTOR; FSHR GONADAL DYSGENESIS, XX TYPE GAD1 GDB: 119244 2q31—2q31 PYRIDOXINE DEPENDENCY WITH SEIZURES GINGF GDB: 9848875 2p21—2p21 GINGIVAL SON OF SEVENLESS (DROSOPHILA) HOMOLOG 1; SOS1 GLC1B GDB: 1297553 2q1-2q13 GLAUCOMA 1, OPEN ANGLE, B; GLC1B GPD2 GDB: 354558 2q24.1—2q24.1 GLYCEROL-3-PHOSPHATE DEHYDROGENASE-2; GPD2 GYPC GDB: 120027 2q14-2q21 BLOOD GROUP--GERBICH; Ge HADHA GDB: 434026 2p23—2p23 HYDROXYACYL-CoA DEHYDROGENASE/3-KETOACY L-CoA THIOLASE/ENOYL-CoA HYDRATASE, HADHB GDB: 344953 2p23—2p23 HYDROXYACYL-CoA DEHYDROGENASE/3-KETOACY L-CoA THIOLASE/ENOYL-CoA HYDRATASE, HOXD13 GDB: 127225 2q31—2q31 HOMEO BOX-D13; HOXD13 SYNDACTYLY, TYPE II HPE2 GDB: 136066 2p21—2p21 MIDLINE CLEFT SYNDROME IGKC GDB: 120088 2p12—2p12 IMMUNOGLOBULIN KAPPA 2p11.2—2p11.2 CONSTANT REGION; IGKC IHH GDB: 511203 2q33-2q35 BRACHYDACTYLY, TYPE A1; 2q35—2q35 BDA1 INDIAN HEDGEHOG, 2pter-2qter DROSOPHILA, HOMOLOG OF; IHH IRS1 GDB: 133974 2q36—2q36 INSULIN RECEPTOR SUBSTRATE 1; IRS1 ITGA6 GDB: 128027 2pter-2qter INTEGRIN, ALPHA-6; ITGA6 KHK GDB: 391903 2p23.3-2p23.2 FRUCTOSURIA KYNU GDB: 9957925 2q22.2-2q23.3 LCT GDB: 120140 2q21—2q21 DISACCHARIDE INTOLERANCE II LHCGR GDB: 125260 2p21—2p21 LUTEINIZING HORMONE/CHORIOGONADO- TROPIN RECEPTOR; LHCGR LSFC GDB: 9956219 2—2 2p16—2p16 CYTOCHROME c OXIDASE DEFICIENCY, FRENCH-CANADIAN TYPE MSH2 GDB: 203983 2p16—2p16 COLON CANCER, FAMILIAL, 2p22-2p21 NONPOLYPOSIS TYPE 1; FCC1 MSH6 GDB: 632803 2p16—2p16 G/T MISMATCH-BINDING PROTEIN; GTBP NEB GDB: 120224 2q24.1-2q24.2 NEBULIN; NEB NEMALINE MYOPATHY 2, AUTOSOMAL RECESSIVE; NEM2 NMTC GDB: 11498336 2q21—2q21 THYROID CARCINOMA, PAPILLARY NPHP1 GDB: 128050 2q13—2q13 NEPHRONOPHTHISIS, FAMILIAL JUVENILE 1; NPHP 1 PAFAH1P1 GDB: 435099 2p11.2—2p11.2 PLATELET-ACTIVATING FACTOR ACETYLHYDROLASE, GAMMA SUBUNIT PAX3 GDB: 120495 2q36—2q36 KLEIN-WAARDENBURG 2q35—2q35 SYNDROME WAARDENBURG SYNDROME; WS1 PAX8 GDB: 136447 2q12-2q14 PAIRED BOX HOMEOTIC GENE 8; PAX8 PMS1 GDB: 386403 2q31-2q33 POSTMEIOTIC SEGREGATION INCREASED (S. CEREVISIAE)-1; PMS1 PNKD GDB: 5583973 2q33-2q35 CHOREOATHETOSIS, FAMILIAL PAROXYSMAL; FPD1 PPH1 GDB: 1381541 2q31-2q32 PULMONARY HYPERTENSION, 2q33—2q33 PRIMARY; PPH1 PROC GDB: 120317 2q13-2q21 PROTEIN C DEFICIENCY, 2q13-2q14 CONGENITAL THROMBOTIC DISEASE DUE TO REG1A GDB: 132455 2p12—2p12 REGENERATING ISLET-DERIVED 1-ALPHA; REG1A SAG GDB: 120365 2q37.1—2q37.1 S-ANTIGEN; SAG SFTPB GDB: 120374 2p12-2p11.2 SURFACTANT-ASSOCIATED PROTEIN, PULMONARY-3; SFTP3 SLC11A1 GDB: 371444 2q35—2q35 CIRRHOSIS, PRIMARY; PBC NATURAL RESISTANCE-ASSOCIATED MACROPHAGE PROTEIN 1; NRAMP1 SLC3A1 GDB: 202968 2p16.3—2p16.3 SOLUTE CARRIER FAMILY 3, 2p21—2p21 MEMBER 1; SLC3A1 CYSTINURIA; CSNU SOS1 GDB: 230004 2p22-2p21 GINGIVAL SON OF SEVENLESS (DROSOPHILA) HOMOLOG 1; SOS1 SPG4 GDB: 230127 2p24-2p21 SPASTIC PARAPLEGIA-4, AUTOSOMAL DOMINANT; SPG4 SRD5A2 GDB: 127343 2p23—2p23 PSEUDOVAGINAL PERINEOSCROTAL HYPOSPADIAS; PPSH TCL4 GDB: 136378 2q34—2q34 T-CELL LEUKEMIA/LYMPHOMA-4; TCL4 TGFA GDB: 120435 2p13—2p13 TRANSFORMING GROWTH FACTOR, ALPHA; TGFA TMD GDB: 9837196 2q31—2q31 TIBIAL MUSCULAR DYSTROPHY, TARDIVE TPO GDB: 120446 2p25—2p25 THYROID HORMONOGENESIS, 2p25-2p24 GENETIC DEFECT IN, IIA UGT1 GDB: 120007 2q37—2q37 UDP GLUCURONOSYLTRANSFERASE 1 FAMILY, A1; UGT1A1 UV24 GDB: 9955737 2pter-2qter UV-DAMAGE, EXCISION REPAIR OF, UV-24 WSS GDB: 9955707 2q32—2q32 WRINKLY SKIN SYNDROME; WSS XDH GDB: 266386 2p23-2p22 XANTHINURIA ZAP70 GDB: 433738 2q11-2q13 SYK-RELATED TYROSME 2q12—2q12 KINASE; SRK ZFHX1B GDB: 9958310 2q22—2q22 DISEASE, MICROCEPHALY, AND IRIS COLOBOMA

TABLE 5 Genes, Locations and Genetic Disorders on Chromosome 3 Gene GDB Accession ID Location OMIM Link ACAA1 GDB: 119643 3p23-3p22 PEROXISOMAL 3-OXOACYL-COENZYME A THIOLASE DEFICIENCY AGTR1 GDB: 132359 3q21-3q25 ANGIOTENSIN II RECEPTOR, VASCULAR TYPE 1; AT2R1 AHSG GDB: 118985 3q27—3q27 ALPHA-2-HS-GLYCOPROTEIN; AHSG AMT GDB: 132138 3p21.3-3p21.2 HYPERGLYCMEMIA, ISOLATED 3p21.2-3p21.1 NONKETOTIC, TYPE II; NKH2 ARP GDB: 9959049 3p21.1—3p21.1 ARGININE-RICH PROTEIN BBS3 GDB: 376501 3p—3p BARDET-BIEDL SYNDROME, 3p12.3-3q11.1 TYPE 3; BBS3 BCHE GDB: 120558 3q26.1-3q26.2 BUTYRYLCHOLINESTERASE; BCHE BCPM GDB: 433809 3q21—3q21 BENIGN CHRONIC PEMPHIGUS; BCPM BTD GDB: 309078 3p25—3p25 BIOTINIDASE; BTD CASR GDB: 134196 3q21-3q24 HYPOCALCIURIC HYPERCALCEMIA, FAMILIAL; HHC1 CCR2 GDB: 337364 3p21—3p21 CHEMOKINE (C—C) RECEPTOR 2; CMKBR2 CCR5 GDB: 1230510 3p21—3p21 CHEMOKINE (C—C) RECEPTOR 5; CMKBR5 CDL1 GDB: 136344 3q26.3—3q26.3 DE LANGE SYNDROME; CDL CMT2B GDB: 604021 3q13-3q22 CHARCOT-MARIE-TOOTH DISEASE, NEURONAL TYPE, B; CMT2B COL7A1 GDB: 128750 3p21—3p21 COLLAGEN, TYPE VII, ALPHA-1; 3p21.3—3p21.3 COL7A1 CP GDB: 119069 3q23-3q25 CERULOPLASMIN; CP 3q21-3q24 CRV GDB: 11498333 3p21.3-3p21.1 VASCULOPATHY, RETINAL, WITH CEREBRAL LEUKODYSTROPHY CTNNB1 GDB: 141922 3p22—3p22 CATENIN, BETA 1; CTNNB1 3p21.3—3p21.3 DEM GDB: 681157 3p12-3q11 DEMENTIA, FAMILIAL NONSPECIFIC; DEM ETM1 GDB: 9732523 3q13—3q13 TREMOR, HEREDITARY ESSENTIAL 1; ETM1 FANCD2 GDB: 698345 3p25.3—3p25.3 FANCONI PANCYTOPENIA, 3pter-3p24.2 COMPLEMENTATION GROUP D FIH GDB: 9955790 3q13—3q13 HYPOPARATHYROIDISM, FAMILIAL ISOLATED; FIH FOXL2 GDB: 129025 3q23—3q23 BLEPHAROPHIMOSIS, 3q22-3q23 EPICANTHUS INVERSUS, AND PTOSIS; BPES GBE1 GDB: 138442 3p12—3p12 GLYCOGEN STORAGE DISEASE IV GLB1 GDB: 119987 3p22-3p21.33 GANGLIOSIDOSIS, 3p21.33—3p21.33 GENERALIZED GM1, TYPE I GLC1C GDB: 3801941 3q21-3q24 GLAUCOMA 1, OPEN ANGLE, C; GLC1C GNAI2 GDB: 120516 3p21.3-3p21.2 GUANINE NUCLEOTIDE-BINDING PROTEIN, ALPHA-INHIBITING, POLYPEPTIDE-2; GNAT1 GDB: 119277 3p21.3-3p21.2 GUANINE NUCLEOTIDE-BINDING PROTEIN, ALPHA-TRANSDUCING, POLYPEPTIDE GP9 GDB: 126370 3pter-3qter PLATELET GLYCOPROTEIN IX; GP9 GPX1 GDB: 119282 3q11-3q12 GLUTATHIONE PEROXIDASE; 3p21.3—3p21.3 GPX1 HGD GDB: 203935 3q21-3q23 ALKAPTONURIA; AKU HRG GDB: 120055 3q27—3q27 HISTIDINE-RICH GLYCOPROTEIN; HRG; HRGP ITIH1 GDB: 120107 3p21.2-3p21.1 INTER-ALPHA-TRYPSIN INHIBITOR, HEAVY CHAIN-1; ITIH1; IATIH; ITIH KNG GDB: 125256 3q27—3q27 FLAUJEAC FACTOR DEFICIENCY LPP GDB: 1391795 3q27-3q28 LIM DOMAIN-CONTAINING PREFERRED TRANSLOCATION PARTNER IN LIPOMA; LPP LRS1 GDB: 682448 3p21.1-3p14.1 LARSEN SYNDROME, AUTOSOMAL DOMINANT; LRS1 MCCC1 GDB: 135989 3q27—3q27 BETA-METHYLCROTONYLGLY 3q25-3q27 CINURIA I MDS1 GDB: 250411 3q26—3q26 MYELODYSPLASIA SYNDROME 1; MDS1 MHS4 GDB: 574245 3q13.1—3q13.1 HYPERTHERMIA SUSCEPTIBILITY-4; MHS4 MITF GDB: 214776 3p14.1-3p12 MICROPHTHALMIA-ASSOCIATED TRANSCRIPTION FACTOR; MITF WAARDENBURG SYNDROME, TYPE II; WS2 MLH1 GDB: 249617 3p23-3p22 COLON CANCER, FAMILIAL, 3p21.3—3p21.3 NONPOLYPOSIS TYPE 2; FCC2 MYL3 GDB: 120218 3p21.3-3p21.2 MYOSIN, LIGHT CHAIN, ALKALI, VENTRICULAR AND SKELETAL SLOW; MYL3 MYMY GDB: 11500610 3p26-3p24.2 DISEASE OPA1 GDB: 118848 3q28-3q29 OPTIC ATROPHY 1; OPA1 PBXP1 GDB: 125352 3q22-3q23 PRE-B-CELL LEUKEMIA TRANSCRIPTION FACTOR-1; PBX1 PCCB GDB: 119474 3q21-3q22 GLYCINEMIA, KETOTIC, II POU1F1 GDB: 129070 3p11—3p11 POU DOMAIN, CLASS 1, TRANSCRIPTION FACTOR 1; POU1F1 PPARG GDB: 1223810 3p25—3p25 CANCER OF COLON PEROXISOME PROLIFERATOR ACTIVATED RECEPTOR, GAMMA; PPARG PROS1 GDB: 120721 3p11-3q11 PROTEIN S, ALPHA; PROS1 3p11.1-3q11.2 PTHR1 GDB: 138128 3p22-3p21.1 METAPHYSEAL CHONDRODYSPLASIA, MURK JANSEN TYPE PARATHYROID HORMONE RECEPTOR 1; PTHR1 RCA1 GDB: 230233 3p14.2—3p14.2 RENAL CARCINOMA, FAMILIAL, ASSOCIATED 1; RCA1 RHO GDB: 120347 3q21.3-3q24 RHODOPSIN; RHO SCA7 GDB: 454471 3p21.1-3p12 SPINOCEREBELLAR ATAXIA 7; SCA7 SCLC1 GDB: 9955750 3p23-3p21 SMALL-CELL CANCER OF THE LUNG; SCCL SCN5A GDB: 132152 3p21—3p21 SODIUM CHANNEL, VOLTAGE-GATED, TYPE V, ALPHA POLYPEPTIDE; SCN5A SI GDB: 120377 3q25.2-3q26.2 DISACCHARIDE INTOLERANCE I SLC25A20 GDB: 6503297 3p21.31—3p21.31 CARNITINE-ACYLCARNITINE TRANSLOCASE; CACT SLC2A2 GDB: 119995 3q26.2-3q27 SOLUTE CARRIER FAMILY 2, 3q26.1-3q26.3 MEMBER 2; SLC2A2 FANCONI-BICKEL SYNDROME; FBS TF GDB: 120432 3q21—3q21 TRANSFERRIN; TF TGFBR2 GDB: 224909 3p22—3p22 TRANSFORMING GROWTH 3pter-3p24.2 FACTOR-BETA RECEPTOR, TYPE II; TGFBR2 THPO GDB: 374007 3q26.3-3q27 THROMBOPOIETIN; THPO THRB GDB: 120731 3p24.1-3p22 THYROID HORMONE 3p24.3—3p24.3 RECEPTOR, BETA; THRB TKT GDB: 132402 3p14.3—3p14.3 WERNICKE-KORSAKOFF SYNDROME TM4SF1 GDB: 250815 3q21-3q25 TUMOR-ASSOCIATED ANTIGEN L6; TAAL6 TRH GDB: 128072 3pter-3qter THYROTROPIN-RELEASING HORMONE DEFICIENCY UMPS GDB: 120482 3q13—3q13 OROTICACIDURIA I UQCRC1 GDB: 141850 3p21.3-3p21.2 UBIQUTNOL-CYTOCHROME c 3p21.3—3p21.3 REDUCTASE CORE PROTEIN I; UQCRC1 USH3A GDB: 392645 3q21-3q25 USHER SYNDROME, TYPE III; USH3 VHL GDB: 120488 3p26-3p25 VON HIPPEL-LINDAU SYNDROME; VHL WS2A GDB: 128053 3p14.2-3p13 MICROPHTHALMIA-ASSOCIATED TRANSCRIPTION FACTOR; MITF WAARDENBURG SYNDROME, TYPE II; WS2 XPC GDB: 134769 3p25.1—3p25.1 XERODERMA PIGMENTOSUM, COMPLEMENTATION GROUP C; XPC ZNF35 GDB: 120507 3p21—3p21 ZINC FINGER PROTEIN-35; ZNF35

TABLE 6 Genes, Locations and Genetic Disorders on Chromosome 4 Gene GDB Accession ID Location OMIM Link ADH1B GDB: 119651 4q21-4q23 ALCOHOL 4q22—4q22 DEHYDROGENASE-2; ADH2 ADH1C GDB: 119652 4q21-4q23 ALCOHOL 4q22—4q22 DEHYDROGENASE-3; ADH3 AFP GDB: 119660 4q11-4q13 ALPHA-FETOPROTEIN; AFP AGA GDB: 118981 4q23-4q35 ASPARTYLGLUCOSAMINURIA; 4q32-4q33 AGU AIH2 GDB: 118751 4q11-4q13 AMELOGENESIS IMPERFECTA 4q13.3-4q21.2 2, HYPOPLASTIC LOCAL, AUTOSOMAL DOMINANT; ALB GDB: 118990 4q11-4q13 ALBUMIN; ALB ASMD GDB: 119705 4q—4q ANTERIOR SEGMENT OCULAR 4q28-4q31 DYSGENESIS; ASOD BFHD GDB: 11498907 4q34.1-4q35 DYSPLASIA, BEUKES TYPE CNGA1 GDB: 127557 4p14-4q13 CYCLIC NUCLEOTIDE GATED CHANNEL, PHOTORECEPTOR, cGMP GATED, 1; CNCG1 CRBM GDB: 9958132 4p16.3—4p16.3 CHERUBISM DCK GDB: 126810 4q13.3-4q21.1 DEOXYCYTIDINE KINASE; DCK DFNA6 GDB: 636175 4p16.3—4p16.3 DEAFNESS, AUTOSOMAL DOMINANT NONSYNDROMIC SENSORINEURAL, 6; DFNA6 DSPP GDB: 5560457 4pter-4qter DENTIN PHOSPHOPROTEIN; 4q21.3—4q21.3 DPP DENTINOGENESIS IMPERFECTA; DGI1 DTDP2 GDB: 9955810 4q—4q DENTIN DYSPLASIA, TYPE II ELONG GDB: 11498700 4q24—4q24 ENAM GDB: 9955259 4q21—4q21 AMELOGENESIS IMPERFECTA 2, HYPOPLASTIC LOCAL, AUTOSOMAL DOMINANT; AMELOGENESIS IMPERFECTA, HYPOPLASTIC TYPE ETFDH GDB: 135992 4q32-4q35 GLUTARICACIDURIA IIC; GA IIC EVC GDB: 555573 4p16—4p16 ELLIS-VAN CREVELD SYNDROME; EVC F11 GDB: 119891 4q35—4q35 PTA DEFICIENCY FABP2 GDB: 119127 4q28-4q31 FATTY ACID BINDING PROTEIN 2, INTESTINAL; FABP2 FGA GDB: 119129 4q28—4q28 AMYLOIDOSIS, FAMILIAL VISCERAL FIBRINOGEN, A ALPHA POLYPEPTIDE; FGA FGB GDB: 119130 4q28—4q28 FIBRINOGEN, B BETA POLYPEPTIDE; FGB FGFR3 GDB: 127526 4p16.3—4p16.3 ACHONDROPLASIA; ACH BLADDER CANCER FIBROBLAST GROWTH FACTOR RECEPTOR-3; FGFR3 FGG GDB: 119132 4q28—4q28 FIBRINOGEN, G GAMMA POLYPEPTIDE; FGG FSHMD1A GDB: 119914 4q35—4q35 FACIOSCAPULOHUMERAL MUSCULAR DYSTROPHY 1A; FSHMD1A GC GDB: 119263 4q12-4q13 GROUP-SPECIFIC 4q12—4q12 COMPONENT; GC GNPTA GDB: 119280 4q21-4q23 MUCOLIPIDOSIS II; ML2; ML II GNRHR GDB: 136456 4q13—4q13 GONADOTROPIN-RELEASING 4q21.2—4q21.2 HORMONE RECEPTOR; GNRHR GYPA GDB: 118890 4q28-4q31 BLOOD GROUP--MN LOCUS; 4q28.2-4q31.1 MN HCA GDB: 9954675 4q33-4qter HYPERCALCIURIA, FAMILIAL IDIOPATHIC HCL2 GDB: 119305 4q28-4q31 HAIR COLOR-2; HCL2 4q—4q HD GDB: 119307 4p16.3—4p16.3 HUNTINGTON DISEASE; HD HTN3 GDB: 125601 4q12-4q21 HISTATIN-3; HTN3 HVBS6 GDB: 120687 4q32—4q32 HEPATOCELLULAR CARCINOMA-2; HCC2 IDUA GDB: 119327 4p16.3—4p16.3 MUCOPOLYSACCHARIDOSIS TYPE I; MPS I IF GDB: 120077 4q24-4q25 COMPLEMENT COMPONENT-3 4q25—4q25 INACTIVATOR, DEFICIENCY OF JPD GDB: 120113 4pter-4qter PERIODONTITIS, JUVENILE; 4q12-4q13 JPD KIT GDB: 120117 4q12—4q12 V-KIT HARDY-ZUCKERMAN 4 FELINE SARCOMA VIRAL ONCOGENE HOMOLOG; KIT KLKB1 GDB: 127575 4q34-4q35 FLETCHER FACTOR 4q35—4q35 DEFICIENCY LQT4 GDB: 682072 4q25-4q27 SYNDROME WITHOUT PSYCHOMOTOR RETARDATION MANBA GDB: 125261 4q21-4q25 MANNOSIDOSIS, BETA; MANB1 MLLT2 GDB: 136792 4q21—4q21 MYELOID/LYMPHOID OR MIXED LINEAGE LEUKEMIA, TRANSLOCATED TO, 2; MLLT2 MSX1 GDB: 120683 4p16.3—4p16.1 MSH, DROSOPHILA, HOMEO 4p16.1—4p16.1 BOX, HOMOLOG OF, 1; MSX1 MTP GDB: 228961 4q24—4q24 MICROSOMAL TRIGLYCERIDE TRANSFER PROTEIN, 88 KD; MTP NR3C2 GDB: 120188 4q31—4q31 PSEUDOHYPOALDOSTERONIS 4q31.1—4q31.1 M, TYPE I, AUTOSOMAL RECESSIVE; PHA1 PBT GDB: 120260 4q12-4q21 PIEBALD TRAIT; PBT PDE6B GDB: 125915 4p16.3—4p16.3 NIGHTBLINDNESS, CONGENITAL STATIONARY; CSNB3 PHOSPHODIESTERASE 6B, cGMP-SPECIFIC, ROD, BETA; PDE6B PEE1 GDB: 7016765 4q31-4q34 1; PEE1 4q25-4qter PITX2 GDB: 134770 4q25-4q27 IREDOGONIODYSGENESIS, 4q25-4q26 TYPE 2; IRID2 RJEGER 4q25—4q25 SYNDROME, TYPE 1; RIEG1 RIEG BICOID-RELATED HOMEOBOX TRANSCRIPTION FACTOR 1; RIEG1 HOMEO BOX 2 PKD2 GDB: 118851 4q21-4q23 POLYCYSTIC KIDNEY DISEASE 2; PKD2 QDPR GDB: 120331 4p15.3—4p15.3 PHENYLKETONURIA II 4p15.31—4p15.31 SGCB GDB: 702072 4q12—4q12 MUSCULAR DYSTROPHY, LIMB-GIRDLE, TYPE 2E; LGMD2E SLC25A4 GDB: 119680 4q35—4q35 ADENINE NUCLEOTIDE TRANSLOCATOR 1; ANT1 PROGRESSIVE EXTERNAL OPHTHALMOPLEGIA; PEO SNCA GDB: 439047 4q21.3-4q22 SYNUCLEIN, ALPHA; SNCA 4q21—4q21 PARKINSON DISEASE, FAMILIAL, TYPE 1; PARK1 SOD3 GDB: 125291 4p16.3-4q21 SUPEROXIDE DISMUTASE, EXTRACELLULAR; SOD3 STATH GDB: 120391 4q11-4q13 STATHERIN; STATH; STR TAPVR1 GDB: 392646 4p13-4q11 ANOMALOUS PULMONARY VENOUS RETURN; APVR TYS GDB: 119624 4q—4q SCLEROTYLOSIS; TYS WBS2 GDB: 132426 4q33-4q35.1 WILLIAMS-BEUREN SYNDROME; WBS WFS1 GDB: 434294 4p—4p DIABETES MELLITUS AND 4p16—4p16 INSIPIDUS WITH OPTIC ATROPHY AND DEAFNESS WHCR GDB: 125355 4p16.3—4p16.3 WOLF-HIRSCHHORN SYNDROME; WHS

TABLE 7 Genes, Locations and Genetic Disorders on Chromosome 5 Gene GDB Accession ID OMIM Link ADAMTS2 GDB: 9957209 EHLERS-DANLOS SYNDROME, TYPE VII, AUTOSOMAL RECESSIVE ADRB2 GDB: 120541 BETA-2-ADRENERGIC RECEPTOR; ADRB2 AMCN GDB: 9836823 ARTHROGRYPOSIS MULTIPLEX CONGENITA, NEUROGENIC TYPE AP3B1 GDB: 9955590 HERMANSKY-PUDLAK SYNDROME; HPS APC GDB: 119682 ADENOMATOUS POLYPOSIS OF THE COLON; APC ARSB GDB: 119008 MUCOPOLYSACCHARIDOSIS TYPE VI; MPS VI B4GALT7 GDB: 9957653 SYNDROME, PROGEROID FORM BHR1 GDB: 9956078 ASTHMA C6 GDB: 119045 COMPLEMENT COMPONENT-6, DEFICIENCY OF C7 GDB: 119046 COMPLEMENT COMPONENT-7, DEFICIENCY OF CCAL2 GDB: 5584265 CHONDROCALCINOSIS, FAMILIAL ARTICULAR CKN1 GDB: 128586 COCKAYNE SYNDROME, TYPE I; CKN1 CMDJ GDB: 9595425 CRANIOMETAPHYSEAL DYSPLASIA, JACKSON TYPE; CMDJ CRHBP GDB: 127438 CORTICOTROPIN RELEASING HORMONE-BINDING PROTEIN; CRHBP CSF1R GDB: 120600 COLONY-STIMULATING FACTOR-1 RECEPTOR; CSF1R DHFR GDB: 119845 DIHYDROFOLATE REDUCTASE; DHFR DIAPH1 GDB: 9835482 DEAFNESS, AUTOSOMAL DOMINANT NONSYNDROMIC SENSORINEURAL, 1; DFNA1 DIAPHANOUS, DROSOPHILA, HOMOLOG OF, 1 DTR GDB: 119853 DIPHTHERIA TOXIN SENSITIVITY; DTS EOS GDB: 9956083 EOSINOPHILIA, FAMILIAL ERVR GDB: 9835857 HYALOIDEORETINAL DEGENERATION OF WAGNER F12 GDB: 119892 HAGEMAN FACTOR DEFICIENCY FBN2 GDB: 128122 CONTRACTURAL ARACHNODACTYLY, CONGENITAL; CCA GDNF GDB: 450609 GLIAL CELL LINE-DERIVED NEUROTROPHIC FACTOR; GDNF GHR GDB: 119984 GROWTH HORMONE RECEPTOR; GHR GLRA1 GDB: 118801 GLYCINE RECEPTOR, ALPHA-1 SUBUNIT; GLRA1 KOK DISEASE GM2A GDB: 120000 TAY-SACHS DISEASE, AB VARIANT HEXB GDB: 119308 SANDHOFF DISEASE HSD17B4 GDB: 385059 17-@BETA-HYDROXYSTEROID DEHYDROGENASE IV; HSD17B4 ITGA2 GDB: 128031 INTEGRIN, ALPHA-2; ITGA2 KFS GDB: 9958987 VERTEBRAL FUSION LGMD1A GDB: 118832 MUSCULAR DYSTROPHY, LIMB-GIRDLE, TYPE 1A; LGMD1A LOX GDB: 119367 LYSYL OXIDASE; LOX LTC4S GDB: 384080 LEUKOTRIENE C4 SYNTHASE; LTC4S MAN2A1 GDB: 136413 MANNOSIDASE, ALPHA, II; MANA2 DYSERYTHROPOIETIC ANEMIA, CONGENITAL, TYPE II MCC GDB: 128163 MUTATED IN COLORECTAL CANCERS; MCC MCCC2 GDB: 135990 II MSH3 GDB: 641986 MutS, E. COLI, HOMOLOG OF, 3; MSH3 MSX2 GDB: 138766 MSH (DROSOPHILA) HOMEO BOX HOMOLOG 2; MSX2 PARIETAL FORAMINA, SYMMETRIC; PFM NR3C1 GDB: 120017 GLUCOCORTICOID RECEPTOR; GRL PCSK1 GDB: 128033 PROPROTEIN CONVERTASE SUBTILISIN/KEXIN TYPE 1; PCSK1 PDE6A GDB: 120265 PHOSPHODIESTERASE 6A, cGMP-SPECIFIC, ROD, ALPHA; PDE6A PFBI GDB: 9956096 INTENSITY OF INFECTION IN RASA1 GDB: 120339 RAS p21 PROTEIN ACTIVATOR 1; RASA1 SCZD1 GDB: 120370 DISORDER-1; SCZD1 SDHA GDB: 378037 SUCCINATE DEHYDROGENASE COMPLEX, SUBUNIT A, FLAVOPROTEIN; SDHA SGCD GDB: 5886421 SARCOGLYCAN, DELTA; SGCD SLC22A5 GDB: 9863277 CARNITINE DEFICIENCY, SYSTEMIC, DUE TO DEFECT IN RENAL REABSORPTION SLC26A2 GDB: 125421 DIASTROPHIC DYSPLASIA; DTD EPIPHYSEAL DYSPLASIA, MULTIPLE; MED NEONATAL OSSEOUS DYSPLASIA I ACHONDROGENESIS, TYPE IB; ACG1B SLC6A3 GDB: 132445 SOLUTE CARRIER FAMILY 6, MEMBER 3; SLC6A3 DEFICIT-HYPERACTIVITY DISORDER; ADHD SM1 GDB: 9834488 SCHISTOSOMA MANSONI SUSCEPTIBILITY/RESISTANCE SMA@ GDB: 120378 SPINAL MUSCULAR ATROPHY I; SMA I SURVIVAL OF MOTOR NEURON 1, TELOMERIC; SMN1 SMN1 GDB: 5215173 SPINAL MUSCULAR ATROPHY I; SMA I SURVIVAL OF MOTOR NEURON 1, TELOMERIC; SMN1 SMN2 GDB: 5215175 SPINAL MUSCULAR ATROPHY I; SMA I SURVIVAL OF MOTOR NEURON 2, CENTROMERIC; SMN2 SPINK5 GDB: 9956114 NETHERTON DISEASE TCOF1 GDB: 127390 TREACHER COLLINS-FRANCESCHETTI SYNDROME 1; TCOF1 TGFBI GDB: 597601 CORNEAL DYSTROPHY, GRANULAR TYPE CORNEAL DYSTROPHY, LATTICE TYPE I; CDL1 TRANSFORMING GROWTH FACTOR, BETA-INDUCED, 68 KD; TGFBI

TABLE 8 Genes, Locations and Genetic Disorders on Chromosome 6 Gene GDB Accession ID OMIM Link ALDH5A1 GDB: 454767 SUCCINIC SEMIALDEHYDE DEHYDROGENASE, NAD(+)-DEPENDENT; SSADH ARG1 GDB: 119006 ARGININEMIA AS GDB: 135697 ANKYLOSING SPONDYLITIS; AS ASSP2 GDB: 119017 CITRULLINEMIA BCKDHB GDB: 118759 MAPLE SYRUP URINE DISEASE, TYPE IB BF GDB: 119726 GLYCINE-RICH BETA-GLYCOPROTEIN; GBG C2 GDB: 119731 COMPLEMENT COMPONENT-2, DEFICIENCY OF C4A GDB: 119732 COMPLEMENT COMPONENT 4A; C4A CDKN1A GDB: 266550 CYCLIN-DEPENDENT KINASE INHIBITOR 1A; CDKN1A COL10A1 GDB: 128635 COLLAGEN, TYPE X, ALPHA 1; COL10A1 COL11A2 GDB: 119788 COLLAGEN, TYPE XI, ALPHA-2; COL11A2 STICKLER SYNDROME, TYPE II; STL2 DEAFNESS, AUTOSOMAL DOMINANT NONSYNDROMIC SENSORMEURAL, 13; DFNA13 CYP21A2 GDB: 120605 ADRENAL HYPERPLASlA, CONGENITAL, DUE TO 21-HYDROXYLASE DEFICIENCY DYX2 GDB: 437584 DYSLEXIA, SPECIFIC, 2; DYX2 EJM1 GDB: 119864 MYOCLONIC EPILEPSY, JUVENILE; EJM1 ELOVL4 GDB: 11499609 STARGARDT DISEASE 3; STGD3 EPM2A GDB: 3763331 EPILEPSY, PROGRESSIVE MYOCLONIC 2; EPM2 ESR1 GDB: 119120 ESTROGEN RECEPTOR; ESR EYA4 GDB: 700062 DEAFNESS, AUTOSOMAL DOMINANT NONSYNDROMIC SENSORINEURAL, 10; DFNA10 F13A1 GDB: 120614 FACTOR XIII, A1 SUBUNIT; F13A1 FANCE GDB: 1220236 FANCONI ANEMIA, COMPLEMENTATION GROUP E; FACE GCLC GDB: 132915 GAMMA-GLUTAMYLCYSTEINE SYNTHETASE DEFICIENCY, HEMOLYTIC ANEMIA DUE GJA1 GDB: 125196 GAP JUNCTION PROTEIN, ALPHA-1, 43 KD; GJA1 GLYS1 GDB: 136421 GLYCOSURIA, RENAL GMPR GDB: 127058 GUANINE MONOPHOSPHATE REDUCTASE GSE GDB: 9956235 DISEASE; CD HCR GDB: 9993306 PSORIASIS, SUSCEPTIBILITY TO HFEGDB: 119309 HEMOCHROMATOSIS; HFE HLA-A GDB: 119310 HLA-A HISTOCOMPATIBILITY TYPE; HLAA HLA-DPB1GDB: 120636 LA-DP HISTOCOMPATIBILITY TYPE, BETA-1 SUBUNIT HLA-DRA GDB: 120641 HLA-DR HISTOCOMPATIBILITY TYPE; HLA-DRA HPFH GDB: 9849006 HETEROCELLULAR HEREDITARY PERSISTENCE OF FETAL HEMOGLOBIN ICS1 GDB: 136433 IMMOTILE CILIA SYNDROME-1; ICS1 IDDM1 GDB: 9953173 DIABETES MELLITUS, JUVENILE-ONSET INSULIN-DEPENDENT; IDDM IFNGR1 GDB: 120688 INTERFERON, GAMMA, RECEPTOR-1; IFNGR1 IGAD1 GDB: 6929077 SELECTIVE DEFICIENCY OF IGF2R GDB: 120083 INSULIN-LIKE GROWTH FACTOR 2 RECEPTOR; IGF2R ISCW GDB: 9956158 SUPPRESSION; IS LAMA2 GDB: 132362 LAMININ, ALPHA 2; LAMA2 LAP GDB: 9958992 LARYNGEAL ADDUCTOR PARALYSIS; LAP LCA5 GDB: 11498764 AMAUROSIS CONGENITA OF LEBER I LPA GDB: 120699 APOLIPOPROTEIN(a); LPA MCDR1 GDB: 131406 MACULAR DYSTROPHY, RETINAL, 1, NORTH CAROLINA TYPE; MCDR1 MOCS1 GDB: 9862235 MOLYBDENUM COFACTOR DEFICIENCY MUT GDB: 120204 METHYLMALONICACIDURIA DUE TO METHYLMALONIC CoA MUTASE DEFICIENCY MYB GDB: 119441 V-MYB AVIAN MYELOBLASTOSIS VIRAL ONCOGENE HOMOLOG; MYB NEU1 GDB: 120230 NEURAMINIDASE DEFICIENCY NKS1 GDB: 128100 SUSCEPTIBILITY TO LYSIS BY ALLOREACTIVE NATURAL KILLER CELLS; EC1 NYS2 GDB: 9848763 NYSTAGMUS, CONGENITAL OA3 GDB: 136429 ALBINISM, OCULAR, AUTOSOMAL RECESSIVE; OAR ODDD GDB: 6392584 OCULODENTODIGITAL DYSPLASIA; ODDD OFC1 GDB: 120247 OROFACIAL CLEFT 1; OFC1 PARK2 GDB: 6802742 PARKINSONISM, JUVENILE PBCA GDB: 9956321 BETA CELL AGENESIS WITH NEONATAL DIABETES MELLITUS PBCRA1 GDB: 3763333 CHORIORETINAL ATROPHY, PROGRESSIVE BIFOCAL; CRAPB PDB1 GDB: 136349 DISEASE OF BONE; PDB PEX3 GDB: 9955507 ZELLWEGER SYNDROME; ZS PEX6 GDB: 5592414 ZELLWEGER SYNDROME; ZS PEROXIN-6; PEX6 PEX7 GDB: 6155803 RHIZOMELIC CHONDRODYSPLASIA PUNCTATA; RCDP PEROXIN-7; PEX7 PKHD1 GDB: 433910 POLYCYSTIC KIDNEY AND HEPATIC DISEASE-1; PKHD1 PLA2G7 GDB: 9958829 PLATELET-ACTIVATING FACTOR ACETYLHYDROLASE, SUBUNIT PLG GDB: 119498 PLASMINOGEN; PLG POLH GDB: 6963323 PIGMENTOSUM WITH NORMAL DNA REPAIR RATES PPAC GDB: 9956248 ARTHROPATHY, PROGRESSIVE PSEUDORHEUMATOID, OF CHILDHOOD PSORS1 GDB: 6381310 PSORIASIS, SUSCEPTIBILITY TO PUJO GDB: 9956231 MULTICYSTIC RENAL DYSPLASIA, BILATERAL; MRD RCD1 GDB: 333929 RETINAL CONE DEGENERATION RDS GDB: 118863 RETINAL DEGENERATION, SLOW; RDS RHAG GDB: 136011 RHESUS BLOOD GROUP-ASSOCIATED GLYCOPROTEIN; RHAG RH-NULL, REGULATOR TYPE; RHN RP14 GDB: 433713 RETINITIS PIGMENTOSA-14; RP14 TUBBY-LIKE PROTEIN 1; TULP1 RUNX2 GDB: 392082 CLEIDOCRANIAL DYSPLASIA; CCD CORE-BINDING FACTOR, RUNT DOMAIN, ALPHA SUBUNIT 1; CBFA1 RWS GDB: 9956195 SENSITIVITY SCA1 GDB: 119588 SPINOCEREBELLAR ATAXIA 1; SCA1 SCZD3 GDB: 635974 DISORDER-3; SCZD3 SIASD GDB: 433552 SIALIC ACID STORAGE DISEASE; SIASD SOD2 GDB: 119597 SUPEROXIDE DISMUTASE 2, MITOCHONDRIAL; SOD2 ST8 GDB: 6118456 OVARIAN TUMOR TAP1 GDB: 132668 TRANSPORTER 1, ABC; TAP1 TAP2 GDB: 132669 TRANSPORTER 2, ABC; TAP2 TFAP2B GDB: 681506 DUCTUS ARTERIOSUS; PDA TRANSCRIPTION FACTOR AP-2 BETA; TFAP2B TNDM GDB: 9956265 DIABETES MELLITUS, TRANSIENT NEONATAL TNF GDB: 120441 TUMOR NECROSIS FACTOR; TNF TPBG GDB: 125568 TROPHOBLAST GLYCOPROTEIN; TPBG; M6P1 TPMT GDB: 209025 THIOPURINE S-METHYLTRANSFERASE; TPMT TULP1 GDB: 6199353 TUBBY-LIKE PROTEIN 1; TULP1 WISP3 GDB: 9957361 ARTHROPATHY, PROGRESSIVE PSEUDORHEUMATOID, OF CHILDHOOD

TABLE 9 Genes, Locations and Genetic Disorders on Chromosome 7 Gene GDB Accession ID OMIM Link AASS GDB: 11502144 HYPERLYSINEMIA ABCB1 GDB: 120712 P-GLYCOPROTEIN-1; PGY1 ABCB4 GDB: 120713 P-GLYCOPROTEIN-3; PGY3 ACHE GDB: 118746 ACETYLCHOLINESTERASE BLOOD GROUP--Yt SYSTEM; YT AQP1 GDB: 129082 AQUAPORIN-1; AQP1 BLOOD GROUP--COLTON; CO ASL GDB: 119703 ARGININOSUCCINICACIDURIA ASNS GDB: 119706 ASPARAGINE SYNTHETASE; ASNS; AS AUTS1 GDB: 9864226 DISORDER BPGM GDB: 119039 DIPHOSPHOGLYCERATE MUTASE DEFICIENCY OF ERYTHROCYTE C7orf2 GDB: 10794644 ACHEIROPODY CACNA2D1 GDB: 132010 CALCIUM CHANNEL, VOLTAGE-DEPENDENT, L TYPE, ALPHA-2/DELTA SUBUNIT; MALIGNANT HYPERTHERMIA SUSCEPTIBILITY-3 CCM1 GDB: 580824 CEREBRAL CAVERNOUS MALFORMATIONS 1; CCM1 CD36 GDB: 138800 CD36 ANTIGEN; CD36 CFTR GDB: 120584 CYSTIC FIBROSIS; CF DEFERENS, CONGENITAL BILATERAL APLASIA OF; CBAVD; CAVD CHORDOMA GDB: 11498328 CLCN1 GDB: 134688 CHLORIDE CHANNEL 1, SKELETAL MUSCLE; CLCN1 CMH6 GDB: 9956392 CARDIOMYOPATHY, FAMILIAL HYPERTROPHIC, WITH WOLFF-PARKINSON-WHITE CMT2D GDB: 9953232 CHARCOT-MARIE-TOOTH DISEASE, NEURONAL TYPE, D COL1A2 GDB: 119062 COLLAGEN, TYPE I, ALPHA-2 POLYPEPTIDE; COL1A2 OSTEOGENESIS IMPERFECTA TYPE I OSTEOGENESIS IMPERFECTA TYPE IV; OI4 CRS GDB: 119073 CRANIOSYNOSTOSIS, TYPE 1; CRS1 CYMD GDB: 366594 MACULAR EDEMA, CYSTOID DFNA5 GDB: 636174 DEAFNESS, AUTOSOMAL DOMINANT NONSYNDROMIC SENSORINEURAL, 5; DFNA5 DLD GDB: 120608 LIPOAMIDE DEHYDROGENASE DEFICIENCY, LACTIC ACIDOSIS DUE TO DYT11 GDB: 10013754 MYOCLONUS, HEREDITARY ESSENTIAL EEC1 GDB: 136338 ECTRODACTYLY, ECTODERMAL DYSPLASIA, AND CLEFT LIP/PALATE; EEC ELN GDB: 119107 ELASTIN; ELN WILLIAMS-BEUREN SYNDROME; WBS ETV1 GDB: 335229 ETS VARIANT GENE 1; ETV1 FKBP6 GDB: 9955215 WILLIAMS-BEUREN SYNDROME; WBS GCK GDB: 127550 DIABETES MELLITUS, AUTOSOMAL DOMINANT, TYPE II GLUCOKINASE; GCK GHRHR GDB: 138465 GROWTH HORMONE-RELEASING HORMONE RECEPTOR; GHRHR GHS GDB: 9956363 MICROSOMIA WITH RADIAL DEFECTS GLI3 GDB: 119990 PALLISTER-HALL SYNDROME; PHS GLI-KRUPPEL FAMILY MEMBER 3; GLI3 POSTAXIAL POLYDACTYLY, TYPE A1 GREIG CEPHALOPOLYSYNDACTYLY SYNDROME; GCPS GPDS1 GDB: 9956410 GLAUCOMA, PIGMENT-DISPERSION TYPE GUSB GDB: 120025 MUCOPOLYSACCHARIDOSIS TYPE VII HADH GDB: 120033 HYDROXYACYL-CoA DEHYDROGENASE/3-KETOACYL-CoA THIOLASE/ENOYL-CoA HYDRATASE, HLXB9 GDB: 136411 HOMEO BOX GENE HB9; HLXB9 SACRAL AGENESIS, HEREDITARY, WITH PRESACRAL MASS, ANTERIOR MENINGOCELE, HOXA13 GDB: 120656 HOMEO BOX A13; HOXA13 HPFH2 GDB: 128071 HEREDITARY PERSISTENCE OF FETAL HEMOGLOBIN, HETEROCELLULAR, INDIAN HRX GDB: 9958999 HRX IAB GDB: 11498909 ANEURYSM, INTRACRANIAL BERRY IMMP2L GDB: 11499195 GILLES DE LA TOURETTE SYNDROME; GTS KCNH2 GDB: 138126 LONG QT SYNDROME, TYPE 2; LQT2 LAMB1 GDB: 119357 LAMININ BETA 1; LAMB1 LEP GDB: 136420 LEPTIN; LEP MET GDB: 120178 MET PROTO-ONCOGENE; MET NCF1 GDB: 120222 GRANULOMATOUS DISEASE, CHRONIC, AUTOSOMAL CYTOCHROME-b-POSITIVE FORM NM GDB: 119454 NEUTROPHIL CHEMOTACTIC RESPONSE; NCR OGDH GDB: 118847 ALPHA-KETOGLUTARATE DEHYDROGENASE DEFICIENCY OPN1SW GDB: 119032 TRITANOPIA PEX1 GDB: 9787110 ZELLWEGER SYNDROME; ZS PEROXIN-1; PEX1 PGAM2 GDB: 120280 PHOSPHOGLYCERATE MUTASE, DEFICIENCY OF M SUBUNIT OF PMS2 GDB: 386406 POSTMEIOTIC SEGREGATION INCREASED (S. CEREVISIAE)-2; PMS2 PON1 GDB: 120308 PARAOXONASE 1; PON1 PPP1R3A GDB: 136797 PROTEIN PHOSPHATASE 1, REGULATORY (INHIBITOR) SUBUNIT 3; PPP1R3 PRSS1 GDB: 119620 PANCREATITIS, HEREDITARY; PCTT PROTEASE, SERINE, 1; PRSS1 PTC GDB: 118744 PHENYLTHIOCARBAMIDE TASTING PTPN12 GDB: 136846 PROTEIN-TYROSINE PHOSPHATASE, NONRECEPTOR TYPE, 12; PTPN12 RP10 GDB: 138786 RETINITIS PIGMENTOSA-10; RP10 RP9 GDB: 333931 RETINITIS PIGMENTOSA-9; RP9 SERPINE1 GDB: 120297 PLASMINOGEN ACTIVATOR INHIBITOR, TYPE I; PAI1 SGCE GDB: 9958714 MYOCLONUS, HEREDITARY ESSENTIAL SHFM1 GDB: 128195 SPLIT-HAND/FOOT DEFORMITY, TYPE I; SHFD1 SHH GDB: 456309 HOLOPROSENCEPHALY, TYPE 3; HPE3 SONIC HEDGEHOG, DROSOPHILA, HOMOLOG OF; SHH SLC26A3 GDB: 138165 DOWN-REGULATED IN ADENOMA; DRA CHLORIDE DIARRHEA, FAMILIAL; CLD SLC26A4 GDB: 5584511 PENDRED SYNDROME; PDS DEAFNESS, NEUROSENSORY, AUTOSOMAL RECESSIVE, 4; DFNB4 SLOS GDB: 385950 SMITH-LEMLI-OPITZ SYNDROME SMAD1 GDB: 3763345 SPINAL MUSCULAR ATROPHY, DISTAL, WITH UPPER LIMB PREDOMINANCE; SMAD1 TBXAS1 GDB: 128744 THROMBOXANE A SYNTHASE 1; TBXAS1 TWIST GDB: 135694 ACROCEPHALOSYNDACTYLY TYPE III TWIST, DROSOPHILA, HOMOLOG OF; TWIST ZWS1 GDB: 120511 ZELLWEGER SYNDROME; ZS

TABLE 10 Genes, Locations and Genetic Disorders on Chromosome 8 Gene GDB AccessionID OMIM Link ACHM3 GDB: 9120558 PINGELAPESE BLINDNESS ADRB3 GDB: 203869 BETA-3-ADRENERGIC RECEPTOR; ADRB3 ANK1 GDB: 118737 SPHEROCYTOSIS, HEREDITARY; HS CA1 GDB: 119047 CARBONIC ANHYDRASE I, ERYTHROCYTE, ELECTROPHORETIC VARIANTS OF; CA1 CA2 GDB: 119739 OSTEOPETROSIS WITH RENAL TUBULAR ACIDOSIS CCAL1 GDB: 512892 CHONDROCALCINOSIS WITH EARLY-ONSET OSTEO ARTHRITIS; CCAL2 CLN8 GDB: 252118 EPILEPSY, PROGRESSIVE, WITH MENTAL RETARDATION; EPMR CMT4A GDB: 138755 CHARCOT-MARIE-TOOTH NEUROPATHY 4A; CMT4A CNGB3 GDB: 9993286 PINGELAPESE BLINDNESS COH1 GDB: 252122 COHEN SYNDROME; COH1 CPP GDB: 119798 CERULOPLASMIN; CP CRH GDB: 119804 CORTICOTROPIN-RELEASING HORMONE; CRH CYP11B1 GDB: 120603 ADRENAL HYPERPLASIA, CONGENITAL, DUE TO 11-@BETA-HYDROXYLASE DEFICIENCY CYP11B2 GDB: 120514 CYTOCHROME P450, SUBFAMILY XIB, POLYPEPTIDE 2; CYP11B2 DECR1 GDB: 453934 2,4-@DIENOYL-CoA REDUCTASE; DECR DPYS GDB: 5885803 DIHYDROPYRIMIDINASE; DPYS DURS1 GDB: 9958126 DUANE SYNDROME EBS1 GDB: 119856 EPIDERMOLYSIS BULLOSA SIMPLEX, OGNA TYPE ECA1 GDB: 10796318 JUVENILE ABSENCE EGI GDB: 128830 EPILEPSY, GENERALIZED, IDIOPATHIC; EGI EXT1 GDB: 135994 EXOSTOSES, MULTIPLE, TYPE I; EXT1 CHONDROSARCOMA EYA1 GDB: 5215167 BRANCHIOOTORENAL DYSPLASIA EYES ABSENT 1; EYA1 FGFR1 GDB: 119913 ACROCEPHALOSYNDACTYLY TYPE V FIBROBLAST GROWTH FACTOR RECEPTOR-1; FGFR1 GNRH1 GDB: 133746 GONADOTROPIN-RELEASING HORMONE 1; GNRH1 FAMILIAL HYPOGONADOTROPHIC GSR GDB: 119288 GLUTATHIONE REDUCTASE; GSR GULOP GDB: 128078 SCURVY HR GDB: 595499 ALOPECIA UNIVERSALIS ATRICHIA WITH PAPULAR LESIONS HAIRLESS, MOUSE, HOMOLOG OF KCNQ3 GDB: 9787230 CONVULSIONS, BENIGN FAMILIAL NEONATAL, TYPE 2; BFNC2 POTASSIUM CHANNEL, VOLTAGE-GATED, SUBFAMILY Q, MEMBER 3 KFM GDB: 265291 KLIPPEL-FEIL SYNDROME; KFS; KFM KWE GDB: 9315120 KERATOLYTIC WINTER ERYTHEMA LGCR GDB: 120698 LANGER-GIEDION SYNDROME; LGS LPL GDB: 120700 HYPERLIPOPROTEINEMIA, TYPE I MCPH1 GDB: 9834525 MICROCEPHALY; MCT MOS GDB: 119396 TRANSFORMATION GENE: ONCOGENE MOS MYC GDB: 120208 TRANSFORMATION GENE: ONCOGENE MYC; MYC NAT1 GDB: 125364 ARYLAMEDE ACETYLASE 1; AAC1 NAT2 GDB: 125365 ISONIAZID INACTIVATION NBS1 GDB: 9598211 NIJMEGEN BREAKAGE SYNDROME PLAT GDB: 119496 PLASMINOGEN ACTIVATOR, TISSUE; PLAT PLEC1 GDB: 4119073 EPIDERMOLYSIS BULLOSA SIMPLEX AND LIMB-GIRDLE MUSCULAR DYSTROPHY PLECTIN 1; PLEC1 PRKDC GDB: 234702 SEVERE COMBINED IMMUNODEFICIENCY DISEASE-1; SCID1 PROTEIN KINASE, DNA-ACTIVATED, CATALYTIC SUBUNIT; PRKDC PXMP3 GDB: 131487 PEROXIN-2; PEX2 ZELLWEGER SYNDROME; ZS RP1 GDB: 120352 RETINITIS PIGMENTOSA-1; RP1 SCZD6 GDB: 9864736 DISORDER-2; SCZD2 SFTPC GDB: 120373 PULMONARY SURFACTANT APOPROTEIN PSP-C SGM1 GDB: 135350 KLIPPEL-FEIL SYNDROME; KFS; KFM SPG5A GDB: 250332 SPASTIC PARAPLEGIA-5A, AUTOSOMAL RECESSIVE; SPG5A STAR GDB: 635457 STEROIDOGENIC ACUTE REGULATORY PROTEIN; STAR TG GDB: 120434 THYROGLOBULIN; TG TRPS1 GDB: 594960 TRICHORHINOPHALANGEAL SYNDROME, TYPE I; TRPS1 TTPA GDB: 512364 VITAMIN E, FAMILIAL ISOLATED DEFICIENCY OF; VED TOCOPHEROL (ALPHA) TRANSFER PROTEIN; TTPA VMD1 GDB: 119631 MACULAR DYSTROPHY, ATYPICAL VITELLIFORM; VMD1 WRN GDB: 128446 WERNER SYNDROME; WRN

TABLE 11 Genes, Locations and Genetic Disorders on Chromosome 9 Gene GDB AccessionID OMIM Link ABCA1 GDB: 305294 ANALPHALIPOPROTEINEMIA ATP-BINDING CASSETTE 1; ABC1 ABL1 GDB: 119640 ABELSON MURINE LEUKEMIA VIRAL ONCOGENE HOMOLOG 1; ABL1 ABO GDB: 118956 ABO BLOOD GROUP; ABO ADAMTS13 GDB: 9956467 THROMBOCYTOPENIC PURPURA AK1 GDB: 119664 ADENYLATE KINASE-1; AK1 ALAD GDB: 119665 DELTA-AMINOLEVULINATE DEHYDRATASE; ALAD ALDH1A1 GDB: 119667 ALDEHYDE DEHYDROGENASE-1; ALDH1 ALDOB GDB: 119669 FRUCTOSE INTOLERANCE, HEREDITARY AMBP GDB: 120696 PROTEIN HC; HCP AMCD1 GDB: 437519 ARTHROGRYPOSIS MULTIPLEX CONGENITA, DISTAL, TYPE 1; AMCD1 ASS GDB: 119010 CITRULLINEMIA BDMF GDB: 9954424 BONE DYSPLASIA WITH MEDULLARY FIBROSARCOMA BSCL GDB: 9957720 SEIP SYNDROME C5 GDB: 119734 COMPLEMENT COMPONENT-5, DEFICIENCY OF CDKN2A GDB: 335362 MELANOMA, CUTANEOUS MALIGNANT, 2; CMM2 CYCLIN-DEPENDENT KINASE INHIBITOR 2A; CDKN2A CHAC GDB: 6268491 CHOREOACANTHOCYTOSIS; CHAC CHH GDB: 138268 CARTILAGE-HAIR HYPOPLASIA; CHH CMD1B GDB: 677147 CARDIOMYOPATHY, DILATED 1B; CMD1B COL5A1 GDB: 131457 COLLAGEN, TYPE V, ALPHA-1 POLYPEPTIDE; COL5A1 CRAT GDB: 359759 CARNITINE ACETYLTRANSFERASE; CRAT DBH GDB: 119836 DOPAMINE BETA-HYDROXYLASE, PLASMA; DBH DFNB11 GDB: 1220180 DEAFNESS, NEUROSENSORY, AUTOSOMAL RECESSIVE, 7; DFNB7 DFNB7 GDB: 636178 DEAFNESS, NEUROSENSORY, AUTOSOMAL RECESSIVE, 7; DFNB7 DNAI1 GDB: 11500297 IMMOTILE CILIA SYNDROME-1; ICS1 DYS GDB: 137085 DYSAUTONOMIA, FAMILIAL; DYS DYT1 GDB: 119854 DYSTONIA 1, TORSION; DYT1 ENG GDB: 137193 ENDOGLIN; ENG EPB72 GDB: 128993 ERYTHROCYTE SURFACE PROTEIN BAND 7.2; EPB72 STOMATOCYTOSIS I FANCC GDB: 132672 FANCONI ANEMIA, COMPLEMENTATION GROUP C; FACC FBP1 GDB: 141539 FRUCTOSE-1,6-BISPHOPHATASE 1; FBP1 FCMD GDB: 250412 FUKUYAMA-TYPE CONGENITAL MUSCULAR DYSTROPHY; FCMD FRDA GDB: 119951 FRIEDREICH ATAXIA 1; FRDA1 GALT GDB: 119971 GALACTOSEMIA GLDC GDB: 128611 HYPERGLYCINEMIA, ISOLATED NONKETOTIC, TYPE I; NKH1 GNE GDB: 9954891 INCLUSION BODY MYOPATHY; IBM2 GSM1 GDB: 9784210 GENIOSPASM1; GSM1 GSN GDB: 120019 AMYLOIDOSIS V GELSOLIN; GSN HSD17B3 GDB: 347487 PSEUDOHERMAPHRODITISM, MALE, WITH GYNECOMASTIA HSN1 GDB: 3853677 NEUROPATHY, HEREDITARY SENSORY, TYPE 1 IBM2 GDB: 3801447 INCLUSION BODY MYOPATHY; IBM2 LALL GDB: 9954426 LEUKEMIA, ACUTE, WITH LYMPHOMATOUS FEATURES; LALL LCCS GDB: 386141 LETHAL CONGENITAL CONTRACTURE SYNDROME; LCCS LGMD2H GDB: 9862233 DYSTROPHY, HUTTERITE TYPE LMX1B GDB: 9834526 NAIL-PATELLA SYNDROME; NPS1 MLLT3 GDB: 138172 MYELOID/LYMPHOID OR MIXED LINEAGE LEUKEMIA, TRANSLOCATED TO, 3; MLLT3 MROS GDB: 9954430 MELKERSSON SYNDROME MSSE GDB: 128019 EPITHELIOMA, SELF-HEALING SQUAMOUS NOTCH1 GDB: 131400 NOTCH, DROSOPHILA, HOMOLOG OF, 1; NOTCH1 ORM1 GDB: 120250 OROSOMUCOID 1; ORM1 PAPPA GDB: 134729 PREGNANCY-ASSOCIATED PLASMA PROTEIN A; PAPPA PIP5K1B GDB: 686238 FRIEDREICH ATAXIA 1; FRDA1 PTCH GDB: 119447 BASAL CELL NEVUS SYNDROME; BCNS PATCHED, DROSOPHILA, HOMOLOG OF; PTCH PTGS1 GDB: 128070 PROSTAGLANDIN-ENDOPEROXIDASE SYNTHASE 1; PTGS1 RLN1 GDB: 119552 RELAXIN; RLN1 RLN2 GDB: 119553 RELAXIN, OVARIAN, OF PREGNANCY RMRP GDB: 120348 MITOCHONDRIAL RNA-PROCESSING ENDORIBONUCLEASE, RNA COMPONENT OF; RMRP; CARTILAGE-HAIR HYPOPLASIA; CHH ROR2 GDB: 136454 BRACHYDACTYLY, TYPE B; BDB ROBINOW SYNDROME, RECESSIVE FORM NEUROTROPHIC TYROSINE KINASE, RECEPTOR-RELATED 2; NTRKR2 RPD1 GDB: 9954440 RETINITIS PIGMENTOSA-DEAFNESS SYNDROME 1, AUTOSOMAL DOMINANT SARDH GDB: 9835149 SARCOSINEMIA TDFA GDB: 9954420 FACTOR, AUTOSOMAL TEK GDB: 344185 VENOUS MALFORMATIONS, MULTIPLE CUTANEOUS AND MUCOSAL; VMCM TEK TYROSINE KINASE, ENDOTHELIAL; TEK TSC1 GDB: 120735 TUBEROUS SCLEROSIS-1; TSC1 TYRP1 GDB: 126337 TYROSINASE-RELATED PROTEIN 1; TYRP1 ALBINISM III XANTHISM XPA GDB: 125363 XERODERMA PIGMENTOSUM I

TABLE 12 Genes, Locations and Genetic Disorders on Chromosomes 10 GDB Accession Gene ID OMIM Link CACNB2 GDB: 132014 CALCIUM CHANNEL, VOLTAGE-DEPENDENT, BETA-2 SUBUNIT; CACNB2 COL17A1 GDB: 131396 COLLAGEN, TYPE XVII, ALPHA-1 POLYPEPTIDE; COL17A1 CUBN GDB: 636049 MEGALOBLASTIC ANEMIA 1; MGA1 CYP17 GDB: 119829 ADRENAL HYPERPLASIA, CONGENITAL, DUE TO 17-ALPHA-HYDROXYLASE DEFICIENCY CYP2C19 GDB: 119831 CYTOCHROME P450, SUBFAMILY IIC, POLYPEPTIDE 19; CYP2C19 CYP2C9 GDB: 131455 CYTOCHROME P450, SUBFAMILY IIC, POLYPEPTIDE 9; CYP2C9 EGR2 GDB: 120611 EARLY GROWTH RESPONSE-2; EGR2 EMX2 GDB: 277886 EMPTY SPIRACLES, DROSOPHILA, 2, HOMOLOG OF; EMX2 EPT GDB: 9786112 EPILEPSY, PARTIAL; EPT ERCC6 GDB: 119882 EXCISION-REPAIR CROSS-COMPLEMENTING RODENT REPAIR DEFICIENCY, COMPLEMENTATION FGFR2 GDB: 127273 ACROCEPHALOSYNDACTYLY TYPE V FIBROBLAST GROWTH FACTOR RECEPTOR-2; FGFR2 HK1 GDB: 120044 HEXOKINASE-1; HK1 HOX11 GDB: 119607 HOMEO BOX-11; HOX11 HPS GDB: 127359 HERMANSKY-PUDLAK SYNDROME; HPS IL2RA GDB: 119345 INTERLEUKIN-2 RECEPTOR, ALPHA; IL2RA LGI1 GDB: 9864936 EPILEPSY, PARTIAL; EPT LIPA GDB: 120153 WOLMAN DISEASE MAT1A GDB: 129077 METHIONINE ADENOSYLTRANSFERASE DEFICIENCY MBL2 GDB: 120167 MANNOSE-BINDING PROTEIN, SERUM; MBP1 MKI67 GDB: 120185 PROLIFERATION-RELATED Ki-67 ANTIGEN; MKI67 MXI1 GDB: 137182 MAX INTERACTING PROTEIN 1; MXI1 OAT GDB: 120246 ORNITHINE AMINOTRANSFERASE DEFICIENCY OATL3 GDB: 215803 ORNITHINE AMINOTRANSFERASE DEFICIENCY PAX2 GDB: 138771 PAIRED BOX HOMEOTIC GENE 2; PAX2 PCBD GDB: 138478 PTERIN-4-ALPHA-CARBINOLAMINE DEHYDRATASE; PCBD PRIMAPTERINURIA PEO1 GDB: 632784 PROGRESSIVE EXTERNAL OPHTHALMOPLEGIA; PEO PHYH GDB: 9263423 REFSUM DISEASE PHYTANOYL-CoA HYDROXYLASE; PHYH PNLIP GDB: 127916 LIPASE, CONGENITAL ABSENCE OF PANCREATIC PSAP GDB: 120366 PROSAPOSIN; PSAP PTEN GDB: 6022948 MACROCEPHALY, MULTIPLE LIPOMAS AND HEMANGIOMATA MULTIPLE HAMARTOMA SYNDROME; MHAM POLYPOSIS, JUVENILE INTESTINAL PHOSPHATASE AND TENSIN HOMOLOG; PTEN RBP4 GDB: 120342 RETINOL-BINDING PROTEIN, PLASMA; RBP4 RDPA GDB: 9954445 REFSUM DISEASE WITH INCREASED PIPECOLICACEDEMIA; RDPA RET GDB: 120346 RET PROTO-ONCOGENE; RET SDF1 GDB: 433267 STROMAL CELL-DERIVED FACTOR 1; SDF1 SFTPA1 GDB: 119593 PULMONARY SURFACTANT APOPROTEIN PSP-A; PSAP SFTPD GDB: 132674 PULMONARY SURFACTANT APOPROTEIN PSP-D; PSP-D SHFM3 GDB: 386030 SPLIT-HAND/FOOT MALFORMATION, TYPE 3; SHFM3 SIAL GDB: 6549924 NEURAMINIDASE DEFICIENCY THC2 GDB: 10794765 THROMBOCYTOPENIA TNFRSF6 GDB: 132671 APOPTOSIS ANTIGEN 1; APT1 UFS GDB: 6380714 UROFACIAL SYNDROME; UFS UROS GDB: 128112 PORPHYRIA, CONGENITAL ERYTHROPOIETIC; CEP

TABLE 13 Genes, Locations and Genetic Disorders on Chromosome 11 Gene GDB Accession ID OMIM Link AA GDB: 568984 ATROPHIA AREATA; AA ABCC8 GDB: 591370 SULFONYLUREA RECEPTOR; SUR PERSISTENT HYPERINSULINEMIC HYPOGLYCEMIA OF INFANCY ACAT1 GDB: 126861 ALPHA-METHYLACETOACETICACIDURIA ALX4 GDB: 10450304 PARIETAL FORAMINA, SYMMETRIC; PFM AMPD3 GDB: 136013 ADENOSINE MONOPHOSPHATE DEAMINASE-3; AMPD3 ANC GDB: 9954484 CANAL CARCINOMA APOA1 GDB: 119684 AMYLOEDOSIS, FAMILIAL VISCERAL APOLIPOPROTEIN A-I OF HIGH DENSITY LIPOPROTEIN; APOA1 APOA4 GDB: 119000 APOLIPOPROTEIN A-IV; APOA4 APOC3 GDB: 119001 APOLIPOPROTEIN C-III; APOC3 ATM GDB: 593364 ATAXIA-TELANGIECTASIA; AT BSCL2 GDB: 9963996 SEIP SYNDROME BWS GDB: 120567 BECKWITH-WIEDEMANN SYNDROME; BWS CALCA GDB: 120571 CALCITONIN/CALCITONIN-RELATED POLYPEPTIDE, ALPHA; CALCA CAT GDB: 119049 CATALASE; CAT CCND1 GDB: 128222 LEUKEMIA, CHRONIC LYMPHATIC; CLL CYCLIN D1; CCND1 CD3E GDB: 119764 CD3E ANTIGEN, EPSILON POLYPEPTIDE; CD3E CD3G GDB: 119765 T3 T-CELL ANTIGEN, GAMMA CHAIN; T3G; CD3G CD59 GDB: 119769 CD59 ANTIGEN P18-20; CD59 HUMAN LEUKOCYTE ANTIGEN MIC11; MIC11 CDKN1C GDB: 593296 CYCLIN-DEPENDENT KINASE INHIBITOR 1C; CDKN1C CLN2 GDB: 125228 CEROID-LIPOFUSCINOSIS, NEURONAL 2, LATE INFANTILE TYPE; CLN2 CNTF GDB: 125919 CILIARY NEUROTROPHIC FACTOR; CNTF CPT1A GDB: 597642 HYPOGLYCEMIA, HYPOKETOTIC, WITH DEFICIENCY OF CARNITINE PALMITOYLTRANSFERASE CARNITINE PALMITOYLTRANSFERASE I, LIVER; CPT1A CTSC GDB: 642234 KERATOSIS PALMOPLANTARIS WITH PERIODONTOPATHIA KERATOSIS PALMOPLANTARIS WITH PERIODONTOPATHIA AND ONYCHOGRYPOSIS CATHEPSIN C; CTSC DDB1 GDB: 595014 DNA DAMAGE-BINDING PROTEIN; DDB1 DDB2 GDB: 595015 DNA DAMAGE-BINDING PROTEIN-2; DDB2 DHCR7 GDB: 9835302 SMITH-LEMLI-OPITZ SYNDROME DLAT GDB: 118785 CIRRHOSIS, PRIMARY; PBC DRD4 GDB: 127782 DOPAMINE RECEPTOR D4; DRD4 ECB2 GDB: 9958955 POLYCYTHEMIA, BENIGN FAMILIAL ED4 GDB: 9837373 DYSPLASIA, MARGARITA TYPE EVR1 GDB: 134029 EXUDATIVE VITREORETINOPATHY, FAMILIAL; EVR EXT2GDB: 344921EXOSTOSES, MULTIPLE, TYPE II; EXT2 CHONDROSARCOMA F2 GDB: 119894 COAGULATION FACTOR II; F2 FSHB GDB: 119955 FOLLICLE-STIMULATING HORMONE, BETA POLYPEPTIDE; FSHB FTH1 GDB: 120617 FERRITIN HEAVY CHAIN 1; FTH1 GIF GDB: 118800 PERNICIOUS ANEMIA, CONGENITAL, DUE TO DEFECT OF INTRINSIC FACTOR GSD1B GDB: 9837619 GLYCOGEN STORAGE DISEASE Ib GSD1C GDB: 9837637 STORAGE DISEASE Ic HBB GDB: 119297 HEMOGLOBIN-BETA LOCUS; HBB HBBP1 GDB: 120035 HEMOGLOBIN-BETA LOCUS; HBB HBD GDB: 119298 HEMOGLOBIN-DELTA LOCUS; HBD HBE1 GDB: 119299 HEMOGLOBIN-EPSILON LOCUS; HBE1 HBG1 GDB: 119300 HEMOGLOBIN, GAMMA A; HBG1 HBG2 GDB: 119301 HEMOGLOBIN, GAMMA G; HBG2 HMBS GDB: 120528 PORPHYRIA, ACUTE INTERMITTENT; AIP HND GDB: 9954478 HARTNUP DISORDER HOMG2 GDB: 9956484 MAGNESIUM WASTING, RENAL HRAS GDB: 120684 BLADDER CANCER V-HA-RAS HARVEY RAT SARCOMA VIRAL ONCOGENE HOMOLOG; HRAS HVBS1 GDB: 120069 CANCER, HEPATOCELLULAR IDDM2 GDB: 128530 DIABETES MELLITUS, INSULIN-DEPENDENT, 2 DIABETES MELLITUS, JUVENILE-ONSET INSULIN-DEPENDENT; IDDM IGER GDB: 119696 IgE RESPONSIVENESS, ATOPIC; IGER INS GDB: 119349 INSULIN; INS JBS GDB: 120111 JACOBSEN SYNDROME; JBS KCNJ11 GDB: 7009893 POTASSIUM CHANNEL, INWARDLY-RECTIFYING, SUBFAMILY J, MEMBER 11; KCNJ11 PERSISTENT HYPERINSULINEMIC HYPOGLYCEMIA OF INFANCY KCNJ1 GDB: 204206 POTASSIUM CHANNEL, INWARDLY-RECTIFYING, SUBFAMILY J, MEMBER 1; KCNJ1 KCNQ1 GDB: 741244 LONG QT SYNDROME, TYPE 1; LQT1 LDHA GDB: 120141 LACTATE DEHYDROGENASE-A; LDHA LRP5 GDB: 9836818 OSTEOPOROSIS-PSEUDOGLIOMA SYNDROME; OPPG HIGH BONE MASS MEN1 GDB: 120173 MULTIPLE ENDOCRINE NEOPLASIA, TYPE 1; MEN1 MLL GDB: 128819 MYELOID/LYMPHOID OR MIXED-LINEAGE LEUKEMIA; MLL MTACR1 GDB: 125743 MULTIPLE TUMOR ASSOCIATED CHROMOSOME REGION 1; MTACR1 MYBPC3 GDB: 579615 CARDIOMYOPATHY, FAMILIAL HYPERTROPHIC, 4; CMH4 MYOSIN-BINDING PROTEIN C, CARDIAC; MYBPC3 MYO7A GDB: 132543 MYOSIN VIIA; MYO7A DEAFNESS, NEUROSENSORY, AUTOSOMAL RECESSIVE, 2; DFNB2 DEAFNESS, AUTOSOMAL DOMINANT NONSYNDROMIC SENSORINEURAL, 11; DFNA11 NNO1 GDB: 10450513 SIMPLE, AUTOSOMAL DOMINANT OPPG GDB: 3789438 OSTEOPOROSIS-PSEUDOGLIOMA SYNDROME; OPPG OPTB1 GDB: 9954474 OSTEOPETROSIS, AUTOSOMAL RECESSIVE PAX6 GDB: 118997 PAIRED BOX HOMEOTIC GENE 6; PAX6 PC GDB: 119472 PYRUVATE CARBOXYLASE DEFICIENCY PDX1 GDB: 9836634 PYRUVATE DEHYDROGENASE COMPLEX, COMPONENT X PGL2 GDB: 511177 PARAGANGLIOMAS, FAMILIAL NONCHROMAFFIN, 2; PGL2 PGR GDB: 119493 PROGESTERONE RESISTANCE PORC GDB: 128610 PORPHYRIA, CHESTER TYPE; PORC PTH GDB: 119522 PARATHYROID HORMONE; PTH PTS GDB: 118856 6-@PYRUVOYLTETRAHYDROPTERIN SYNTHASE; PTS PVRL1 GDB: 583951 ECTODERMAL DYSPLASIA, CLEFT LIP AND PALATE, HAND AND FOOT DEFORMITY, DYSPLASIA, MARGARITA TYPE POLIOVIRUS RECEPTOR RELATED; PVRR PYGM GDB: 120329 GLYCOGEN STORAGE DISEASE V RAG1 GDB: 120334 RECOMBINATION ACTIVATING GENE-1; RAG1 RAG2 GDB: 125186 RECOMBINATION ACTIVATING GENE-2; RAG2 ROM1 GDB: 120350 ROD OUTER SEGMENT PROTEIN-1; ROM1 SAA1 GDB: 120364 SERUM AMYLOID A1; SAA1 SCA5 GDB: 378219 SPINOCEREBELLAR ATAXIA 5; SCA5 SCZD2 GDB: 118874 DISORDER-2; SCZD2 SDHD GDB: 132456 PARAGANGLIOMAS, FAMILIAL NONCHROMAFFIN, 1; PGL1 SERPING1 GDB: 119041 ANGIONEUROTIC EDEMA, HEREDITARY; HANE SMPD1 GDB: 128144 NIEMANN-PICK DISEASE TCIRG1 GDB: 9956269 OSTEOPETROSIS, AUTOSOMAL RECESSIVE TCL2 GDB: 9954468 LEUKEMIA, ACUTE T-CELL; ATL TECTA GDB: 6837718 DEAFNESS, AUTOSOMAL DOMINANT NONSYNDROMIC SENSORINEURAL, 8; DFNA8 DEAFNESS, AUTOSOMAL DOMINANT NONSYNDROMIC SENSORINEURAL, 12; DFNA12 TH GDB: 119612 TYROSINE HYDROXYLASE; TH TREH GDB: 9958953 TREHALASE TSG101 GDB: 1313414 TUMOR SUSCEPTIBILITY GENE 101; TSG101 TYR GDB: 120476 ALBINISM I USH1C GDB: 132544 USHER SYNDROME, TYPE IC; USH1C VMD2 GDB: 133795 VITELLIFORM MACULAR DYSTROPHY; VMD2 VRNI GDB: 135662 VITREORETINOPATHY, NEOVASCULAR INFLAMMATORY; VRNI WT1 GDB: 120496 FRASIER SYNDROME WILMS TUMOR; WT1 WT2 GDB: 118886 MULTIPLE TUMOR ASSOCIATED CHROMOSOME REGION 1; MTACR1 ZNF145 GDB: 230064 PROMYELOCYTIC LEUKEMIA ZINC FINGER; PLZF

TABLE 14 Genes, Locations and Genetic Disorders on Chromosome 12 Gene GDB Accession ID OMIM Link A2M GDB: 119639 ALPHA-2-MACROGLOBULIN; A2M AAAS GDB: 9954498 GLUCOCORTICOID DEFICIENCY AND ACHALASIA ACADS GDB: 118959 ACYL-CoA DEHYDROGENASE, SHORT-CHAIN; ACADS ACLS GDB: 136346 ACROCALLOSAL SYNDROME; ACLS ACVRL1 GDB: 230240 OSLER-RENDU-WEBER SYNDROME 2; ORW2 ACTIVIN A RECEPTOR, TYPE II-LIKE KINASE 1; ACVRL1 ADHR GDB: 9954488 VITAMIN D-RESISTANT RICKETS, AUTOSOMAL DOMINANT ALDH2 GDB: 119668 ALDEHYDE DEHYDROGENASE-2; ALDH2 AMHR2 GDB: 696210 ANTI-MULLERIAN HORMONE TYPE II RECEPTOR; AMHR2 AOM GDB: 118998 STICKLER SYNDROME, TYPE I; STL1 AQP2 GDB: 141853 AQUAPORIN-2; AQP2 DIABETES INSIPIDUS, RENAL TYPE DIABETES INSIPIDUS, RENAL TYPE, AUTOSOMAL RECESSIVE ATD GDB: 696353 ASPHYXIATING THORACIC DYSTROPHY; ATD ATP2A2 GDB: 119717 ATPase, Ca(2+)-TRANSPORTING SLOW-TWITCH; ATP2A2 DARIER-WHITE DISEASE; DAR BDC GDB: 5584359 BRACHYDACTYLY, TYPE C; BDC C1R GDB: 119729 COMPLEMENT COMPONENT-C1r, DEFICIENCY OF CD4 GDB: 119767 T-CELL ANTIGEN T4/LEU3; CD4 CDK4 GDB: 204022 CYCLIN-DEPENDENT KINASE 4; CDK4 CNA1 GDB: 252119 CORNEA PLANA 1; CNA1 COL2A1 GDB: 119063 STICKLER SYNDROME, TYPE I; STL1 COLLAGEN, TYPE II, ALPHA-1 CHAIN; COL2A1 ACHONDROGENESIS, TYPE II; ACG2 CYP27B1 GDB: 9835730 PSEUDOVITAMIN D DEFICIENCY RICKETS; PDDR DRPLA GDB: 270336 DENTATORUBRAL-PALLIDOLUYSIAN ATROPHY; DRPLA ENUR2 GDB: 666422 ENURESIS, NOCTURNAL, 2; ENUR2 FEOM1 GDB: 345037 FIBROSIS OF EXTRAOCULAR MUSCLES, CONGENITAL; FEOM FPF GDB: 9848880 PERIODIC FEVER, AUTOSOMAL DOMINANT GNB3 GDB: 120005 GUANINE NUCLEOTIDE-BINDING PROTEIN, BETA POLYPEPTIDE-3; GNB3 GNS GDB: 120006 MUCOPOLYSACCHARIDOSIS TYPE IIID HAL GDB: 120746 HISTIDINEMIA HBP1 GDB: 701889 BRACHYDACTYLY WITH HYPERTENSION HMGIC GDB: 362658 HIGH MOBILITY GROUP PROTEIN ISOFORM I-C; HMGIC HMN2 GDB: 9954508 MUSCULAR ATROPHY, ADULT SPINAL HPD GDB: 135978 TYROSINEMIA, TYPE III IGF1 GDB: 120081 INSULINLIKE GROWTH FACTOR 1; IGF1 KCNA1 GDB: 127903 POTASSIUM VOLTAGE-GATED CHANNEL, SHAKER-RELATED SUBFAMILY, MEMBER KERA GDB: 252121 CORNEA PLANA 2; CNA2 KRAS2 GDB: 120120 V-KI-RAS2 KIRSTEN RAT SARCOMA 2 VIRAL ONCOGENE HOMOLOG; KRAS2 KRT1 GDB: 128198 KERATIN 1; KRT1 KRT2A GDB: 407640 ICHTHYOSIS, BULLOUS TYPE KERATIN 2A; KRT2A KRT3 GDB: 136276 KERATIN 3; KRT3 KRT4 GDB: 120697 KERATIN 4; KRT4 KRT5 GDB: 128110 EPIDERMOLYSIS BULLOSA HERPETIFORMIS, DOWLING-MEARA TYPE KERATIN 5; KRT5 KRT6A GDB: 128111 KERATIN 6A; KRT6A KRT6B GDB: 128113 KERATIN 6B; KRT6B PACHYONYCHIA CONGENITA, JACKSON-LAWLER TYPE KRTHB6 GDB: 702078 MONTLETHRIX KERATIN, HAIR BASIC (TYPE II) 6 LDHB GDB: 120147 LACTATE DEHYDROGENASE-B; LDHB LYZ GDB: 120160 AMYLOIDOSIS, FAMILIAL VISCERAL LYSOZYME; LYZ MGCT GDB: 9954504 TESTICULAR TUMORS MPE GDB: 120191 MALIGNANT PROLIFERATION OF MVK GDB: 134189 MEVALONICACIDURIA MYL2 GDB: 128829 MYOSIN, LIGHT CHAIN, REGULATORY VENTRICULAR; MYL2 NS1 GDB: 439388 NOONAN SYNDROME 1; NS1 OAP GDB: 120245 OSTEOARTHROSIS, PRECOCIOUS; OAP PAH GDB: 119470 PHENYLKETONURIA; PKU1 PPKB GDB: 696352 PALMOPLANTAR KERATODERMA, BOTHNIAN TYPE; PPKB PRB3 GDB: 119513 PAROTID SALIVARY GLYCOPROTEIN; G1 PXR1 GDB: 433739 ZELLWEGER SYNDROME; ZS PEROXISOME RECEPTOR 1; PXR1 RLS GDB: 11501392 ACROMELALGIA, HEREDITARY RSN GDB: 139158 RESTIN; RSN SAS GDB: 128054 SARCOMA AMPLIFIED SEQUENCE; SAS SCA2 GDB: 128034 SPINOCEREBELLAR ATAXIA 2; SCA2 ATAXIN-2; ATX2 SCNN1A GDB: 366596 SODIUM CHANNEL, NONVOLTAGE-GATED, 1; SCNN1A SMAL GDB: 9954506 SPINAL MUSCULAR ATROPHY, CONGENITAL NONPROGRESSIVE, OF LOWER LIMBS SPPM GDB: 9954502 SCAPULOPERONEAL MYOPATHY; SPM SPSMA GDB: 9954510 SCAPULOPERONEAL AMYOTROPHY, NEUROGENIC, NEW ENGLAND TYPE TBX3 GDB: 681969 ULNAR-MAMMARY SYNDROME; UMS T-BOX 3; TBX3 TBX5 GDB: 6175917 HOLT-ORAM SYNDROME; HOS T-BOX 5; TBX5 TCF1 GDB: 125297 TRANSCRIPTION FACTOR 1, HEPATIC; TCF1 MATURITY-ONSET DIABETES OF THE YOUNG, TYPE III; MODY3 TPI1 GDB: 119617 TRIOSEPHOSPHATE ISOMERASE 1; TPI1 TSC3 GDB: 127930 SCLEROSIS-3; TSC3 ULR GDB: 594089 UTERINE VDR GDB: 120487 VITAMIN D-RESISTANT RICKETS WITH END-ORGAN UNRESPONSIVENESS TO 1,25-DIHYDROXYCHOLECALCIFEROL VITAMIN D RECEPTOR; VDR VWF GDB: 119125 VON WILLEBRAND DISEASE; VWD

TABLE 15 Genes, Locations and Genetic Disorders on Chromosome 13 Gene GDB Accession ID OMIM Link ATP7B GDB: 120494 WILSON DISEASE; WND BRCA2 GDB: 387848 BREAST CANCER 2, EARLY-ONSET; BRCA2 BRCD1 GDB: 9954522 BREAST CANCER, DUCTAL, 1; BRCD1 CLN5 GDB: 230991 CEROID-LIPOFUSCNOSIS, NEURONAL 5; CLN5 CPB2 GDB: 129546 CARBOXYPEPTIDASE B2, PLASMA; CPB2 ED2 GDB: 9834522 ECTODERMAL DYSPLASIA, HIDROTIC; HED EDNRB GDB: 129075 ENDOTHELIN-B RECEPTOR; EDNRB HIRSCHSPRUNG DISEASE-2; HSCR2 ENUR1 GDB: 594516 ENURESIS, NOCTURNAL, 1; ENUR1 ERCC5 GDB: 120515 EXCISION-REPAIR, COMPLEMENTING DEFECTIVE, IN CHINESE HAMSTER, 5; ERCC5 F10 GDB: 119890 X, QUANTITATIVE VARIATION IN FACTOR X DEFICIENCY; F10 F7 GDB: 119897 FACTOR VII DEFICIENCY GJB2 GDB: 125247 GAP JUNCTION PROTEIN, BETA-2, 26 KD; GJB2 DEAFNESS, NEUROSENSORY, AUTOSOMAL RECESSIVE, 1; DFNB1 DEAFNESS, AUTOSOMAL DOMINANT NONSYNDROMIC SENSORINEURAL, 3; DFNA3 GJB6 GDB: 9958357 ECTODERMAL DYSPLASIA, HIDROTIC; HED DEAFNESS, AUTOSOMAL DOMINANT NONSYNDROMIC SENSORINEURAL, 3; DFNA3 IPF1 GDB: 448899 INSULIN PROMOTER FACTOR 1; IPF1 MBS1 GDB: 128365 MOEBIUS SYNDROME; MBS MCOR GDB: 9954520 CONGENITAL PCCA GDB: 119473 GLYCINEMIA, KETOTIC, I RB1 GDB: 118734 BLADDER CANCER RETINOBLASTOMA; RB1 RHOK GDB: 371598 RHODOPSIN KINASE; RHOK SCZD7 GDB: 9864734 DISORDER-2; SCZD2 SGCG GDB: 3763329 MUSCULAR DYSTROPHY, LIMB GIRDLE, TYPE 2C; LGMD2C SLC10A2 GDB: 677534 SOLUTE CARRIER FAMILY 10, MEMBER 2; SLC10A2 SLC25A15 GDB: 120042 HYPERORNITHINEMIA-HYPERAMMONEMIA- HOMOCITRULLINURIA SYNDROME STARP1 GDB: 635459 STEROIDOGENIC ACUTE REGULATORY PROTEIN; STAR ZNF198 GDB: 6382650 ZINC FINGER PROTEIN-198; ZNF198

TABLE 16 Genes, Locations and Genetic Disorders on Chromosome 14 Gene GDB Accession ID OMIM Link ACHM1 GDB: 132458 COLORBLINDNESS, TOTAL ARVD1 GDB: 371339 ARRHYTHMOGENIC RIGHT VENTRICULAR DYSPLASIA, FAMILIAL, 1; ARVD1 CTAA1 GDB: 265299 CATARACT, ANTERIOR POLAR 1; CTAA1 DAD1 GDB: 407505 DEFENDER AGAINST CELL DEATH; DAD1 DFNB5 GDB: 636176 DEAFNESS, NEUROSENSORY, AUTOSOMAL RECESSIVE, 5; DFNB5 EML1 GDB: 6328385 USHER SYNDROME, TYPE IA; USH1A GALC GDB: 119970 KRABBE DISEASE GCH1 GDB: 118798 DYSTONIA, PROGRESSIVE, WITH DIURNAL VARIATION GTP CYCLOHYDROLASE I DEFICIENCY GTP CYCLOHYDROLASE I; GCH1 HE1 GDB: 9957680 MALFORMATIONS, MULTIPLE, WITH LIMB ABNORMALITIES AND HYPOPITUITARISM IBGC1 GDB: 10450404 CEREBRAL CALCIFICATION, NONARTERIOSCLEROTIC IGH@ GDB: 118731 IgA CONSTANT HEAVY CHAIN 1; IGHA1 IMMUNOGLOBULIN: D (DIVERSITY) REGION OF HEAVY CHAIN IgA CONSTANT HEAVY CHAIN 2; IGHA2 IMMUNOGLOBULIN: J (JOINING) LOCI OF HEAVY CHAIN; IGHJ IMMUNOGLOBULIN: HEAVY Mu CHAIN; Mu1; IGHM1 IMMUNOGLOBULIN: VARIABLE REGION OF HEAVY CHAINS--Hv1; IGHV IgG HEAVY CHAIN LOCUS; IGHG1 IMMUNOGLOBULIN Gm-2; IGHG2 IMMUNOGLOBULIN Gm-3; IGHG3 IMMUNOGLOBULIN Gm-4; IGHG4 IMMUNOGLOBULIN: HEAVY DELTA CHAIN; IGHD IMMUNOGLOBULIN: HEAVY EPSILON CHAIN; IGHE IGHC group GDB: 9992632 IgA CONSTANT HEAVY CHAIN 1; IGHA1 IgA CONSTANT HEAVY CHAIN 2; IGHA2 IMMUNOGLOBULIN: HEAVY Mu CHAIN; Mu1; IGHM1 IgG HEAVY CHAIN LOCUS; IGHG1 IMMUNOGLOBULIN Gm-2; IGHG2 IMMUNOGLOBULIN Gm-3; IGHG3 IMMUNOGLOBULIN Gm-4; IGHG4 IMMUNOGLOBULIN: HEAVY DELTA CHAIN; IGHD IMMUNOGLOBULIN: HEAVY EPSILON CHAIN; IGHE IGHG1 GDB: 120085 IgG HEAVY CHAIN LOCUS; IGHG1 IGHM GDB: 120086 IMMUNOGLOBULIN: HEAVY Mu CHAIN; Mu1; IGHM1 IGHR GDB: 9954529 G1(A1) SYNDROME IV GDB: 139274 INVERSUS VISCERUM LTBP2 GDB: 453890 LATENT TRANSFORMING GROWTH FACTOR-BETA BINDING PROTEIN 2; LTBP2 MCOP GDB: 9954527 MICROPHTHALMOS MJD GDB: 118840 MACHADO-JOSEPH DISEASE; MJD MNG1 GDB: 6540062 GOITER, MULTINODULAR 1; MNG1 MPD1 GDB: 230271 MYOPATHY, LATE DISTAL HEREDITARY MPS3C GDB: 9954532 MUCOPOLYSACCHARIDOSIS TYPE IIIC MYH6 GDB: 120214 MYOSIN, HEAVY POLYPEPTIDE 6; MYH6 MYH7 GDB: 120215 MYOSIN, CARDIAC, HEAVY CHAIN, BETA; MYH7 NP GDB: 120239 NUCLEOSIDE PHOSPHORYLASE; NP PABPN1 GDB: 567135 OCULOPHARYNGEAL MUSCULAR DYSTROPHY; OPMD OCULOPHARYNGEAL MUSCULAR DYSTROPHY, AUTOSOMAL RECESSIVE POLYADENYLATE-BINDING PROTEIN-2; PABP2 PSEN1 GDB: 135682 ALZHEIMER DISEASE, FAMILIAL, TYPE 3; AD3 PYGL GDB: 120328 GLYCOGEN STORAGE DISEASE VI RPGRIP1 GDB: 11498766 AMAUROSIS CONGENITA OF LEBER I SERPINA1 GDB: 120289 PROTEASE INHIBITOR 1; PI SERPINA3 GDB: 118955 ALPHA-1-ANTICHYMOTRYPSIN; AACT SERPINA6 GDB: 127865 CORTICOSTEROID-BINDING GLOBULIN; CBG SLC7A7 GDB: 9863033 DIBASICAMINOACIDURIA II SPG3A GDB: 230126 SPASTIC PARAPLEGIA-3, AUTOSOMAL DOMINANT; SPG3A SPTB GDB: 119602 ELLIPTOCYTOSIS, RHESUS-UNLINKED TYPE HEREDITARY HEMOLYTIC SPECTRIN, BETA, ERYTHROCYTIC; SPTB TCL1A GDB: 250785 T-CELL LYMPHOMA OR LEUKEMIA TCRAV17S1 GDB: 642130 T-CELL ANTIGEN RECEPTOR, ALPHA SUBUNIT; TCRA TCRAV5S1 GDB: 451966 T-CELL ANTIGEN RECEPTOR, ALPHA SUBUNIT; TCRA TGM1 GDB: 125299 TRANSGLUTAMINASE 1; TGM1 ICHTHYOSIS CONGENITA TITF1 GDB: 132588 THYROID TRANSCRIPTION FACTOR 1; TITF1 TMIP GDB: 9954523 AND ULNA, DUPLICATION OF, WITH ABSENCE OF TIBIA AND RADIUS TRA@ GDB: 120404 T-CELL ANTIGEN RECEPTOR, ALPHA SUBUNIT; TCRA TSHR GDB: 125313 THYROTROPIN, UNRESPONSIVENESS TO USH1A GDB: 118885 USHER SYNDROME, TYPE IA; USH1A VP GDB: 120492 PORPHYRIA VARIEGATA

TABLE 17 Genes, Locations and Genetic Disroders on Chromosome 15 Gene GDB Accession ID OMIM Link ACCPN GDB: 5457725 CORPUS CALLOSUM, AGENESIS OF, WITH NEURONOPATHY AHO2 GDB: 9954535 HEREDITARY OSTEODYSTROPHY-2; AHO2 ANCR GDB: 119678 ANGELMAN SYNDROME B2M GDB: 119028 BETA-2-MICROGLOBULIN; B2M BBS4 GDB: 511199 BARDET-BIEDL SYNDROME, TYPE 4; BBS4 BLM GDB: 135698 BLOOM SYNDROME; BLM CAPN3 GDB: 119751 CALPAIN, LARGE POLYPEPTIDE L3; CAPN3 MUSCULAR DYSTROPHY, LIMB-GIRDLE, TYPE 2; LGMD2 CDAN1 GDB: 9823267 DYSERYTHROPOIETIC ANEMIA, CONGENITAL, TYPE I CDAN3 GDB: 386192 DYSERYTHROPOIETIC ANEMIA, CONGENITAL, TYPE III; CDAN3 CLN6 GDB: 4073043 CEROID-LIPOFUSCINOSIS, NEURONAL 6, LATE INFANTILE, VARIANT; CLN6 CMH3 GDB: 138299 CARDIOMYOPATHY, FAMILIAL HYPERTROPHIC, 3; CMH3 CYP19 GDB: 119830 CYTOCHROME P450, SUBFAMILY XIX; CYP19 CYP1A1 GDB: 120604 CYTOCHROME P450, SUBFAMILY I, POLYPEPTIDE 1; CYP1A1 CYP1A2 GDB: 118780 CYTOCHROME P450, SUBFAMILY I, POLYPEPTIDE 2; CYP1A2 DYX1 GDB: 1391796 DYSLEXIA, SPECIFIC, 1; DYX1 EPB42 GDB: 127385 HEREDITARY HEMOLYTIC PROTEIN 4.2, ERYTHROCYTIC; EPB42 ETFA GDB: 119121 GLUTARICACIDURIA IIA GA IIA EYCL3 GDB: 4590306 EYE COLOR-3; EYCL3 FAH GDB: 119901 TYROSINEMIA, TYPE I FBN1 GDB: 127115 FIBRILLIN-1; FBN1 MARFAN SYNDROME; MFS FES GDB: 119906 V-FES FELINE SARCOMA VIRAL/V-FPS FUJINAMI AVIAN SARCOMA VIRAL ONCOGENE HCVS GDB: 119306 CORONAVIRUS 229E SUSCEPTIBILITY; CVS HEXA GDB: 120040 TAY-SACHS DISEASE; TSD IVD GDB: 119354 ISOVALERICACIDEMIA; IVA LCS1 GDB: 11500552 CHOLESTASIS-LYMPHEDEMA SYNDROME LIPC GDB: 119366 LIPASE, HEPATIC; LIPC MYO5A GDB: 218824 MYOSIN VA; MYO5A OCA2 GDB: 136820 ALBINISM II OTSC1 GDB: 9860473 OTOSCLEROSIS PWCR GDB: 120325 PRADER-WILLI SYNDROME RLBP1 GDB: 127341 RETINALDEHYDE-BINDING PROTEIN 1,; RLBP1 SLC12A1 GDB: 386121 SOLUTE CARRIER FAMILY 12, MEMBER 1; SLC12A1 SPG6 GDB: 511201 SPASTIC PARAPLEGIA 6, AUTOSOMAL DOMINANT; SPG6 TPM1 GDB: 127875 TROPOMYOSIN 1; TPM1 UBE3A GDB: 228487 ANGELMAN SYNDROME UBIQUITIN-PROTEIN LIGASE E3A; UBE3A WMS GDB: 5583902 WEILL-MARCHESANI SYNDROME

TABLE 18 Genes, Locations and Genetic Disorders on Chromosome 16 Gene GDB Accession ID OMIM Link ABCC6 GDB: 9315106 PSEUDOXANTHOMA ELASTICUM, AUTOSOMAL DOMINANT; PXE PSEUDOXANTHOMA ELASTICUM, AUTOSOMAL RECESSIVE; PXE ALDOA GDB: 118993 ALDOLASE A, FRUCTOSE-BISPHOSPHATE; ALDOA APRT GDB: 119003 ADENINE PHOSPHORIBOSYLTRANSFERASE; APRT ATP2A1 GDB: 119716 ATPase, Ca(2+)-TRANSPORTING, FAST-TWITCH 1; ATP2A1 BRODY MYOPATHY BBS2 GDB: 229992 BARDET-BIEDL SYNDROME, TYPE 2; BBS2 CARD15 GDB: 11026232 SYNOVITIS, GRANULOMATOUS, WITH UVEITIS AND CRANIAL NEUROPATHIES REGIONAL ENTERITIS CATM GDB: 701219 MICROPHTHALMIA-CATARACT CDH1 GDB: 120484 CADHERIN 1; CDH1 CETP GDB: 119773 CHOLESTERYL ESTER TRANSFER PROTEIN, PLASMA; CETP CHST6 GDB: 131407 CORNEAL DYSTROPHY, MACULAR TYPE CLN3 GDB: 120593 CEROID-LIPOFUSCINOSIS, NEURONAL 3, JUVENILE; CLN3 CREBBP GDB: 437159 RUBINSTEIN SYNDROME CREB-BINDING PROTEIN; CREBBP CTH GDB: 119086 CYSTATHIONINURIA CTM GDB: 119819 CATARACT, ZONULAR CYBA GDB: 125238 GRANULOMATOUS DISEASE, CHRONIC, AUTOSOMAL CYTOCHROME-b-NEGATIVE FORM CYLD GDB: 701216 EPITHELIOMA, HEREDITARY MULTIPLE BENIGN CYSTIC DHS GDB: 9958268 XEROCYTOSIS, HEREDITARY DNASE1 GDB: 132846 DEOXYRIBONUCLEASE I; DNASE1 DPEP1 GDB: 128059 RENAL DIPEPTIDASE ERCC4 GDB: 119113 EXCISION-REPAIR, COMPLEMENTING DEFECTIVE, IN CHINESE HAMSTER, 4; ERCC4 XERODERMA PIGMENTOSUM, COMPLEMENTATION GROUP F; XPF FANCA GDB: 701221 FANCONI ANEMIA, COMPLEMENTATION GROUP A; FACA GALNS GDB: 129085 MUCOPOLYSACCHARIDOSIS TYPE IVA GAN GDB: 9864885 NEUROPATHY, GIANT AXONAL; GAN HAGH GDB: 119292 HYDROXYACYL GLUTATHIONE HYDROLASE; HAGH HBA1 GDB: 119293 HEMOGLOBIN--ALPHA LOCUS-1; HBA1 HBA2 GDB: 119294 HEMOGLOBIN--ALPHA LOCUS-2; HBA2 HBHR GDB: 9954541 HEMOGLOBIN H-RELATED MENTAL RETARDATION HBQ1 GDB: 120036 HEMOGLOBIN--THETA-1 LOCUS; HBQ1 HBZ GDB: 119302 HEMOGLOBIN--ZETA LOCUS; HBZ HBZP GDB: 120037 HEMOGLOBIN--ZETA LOCUS; HBZ HP GDB: 119314 HAPTOGLOBIN; HP HSD11B2 GDB: 409951 CORTISOL 11-BETA-KETOREDUCTASE DEFICIENCY IL4R GDB: 118823 INTERLEUKIN-4 RECEPTOR; IL4R LIPB GDB: 119365 LIPASE B, LYSOSOMAL ACID; LIPB MC1R GDB: 135162 MELANOCORTIN-1 RECEPTOR; MC1R MEFV GDB: 125263 MEDITERRANEAN FEVER, FAMILIAL; MEFV MHC2TA GDB: 6268475 MHC CLASS II TRANSACTIVATOR; MHC2TA MLYCD GDB: 11500940 MALONYL CoA DECARBOXYLASE DEFICIENCY PHKB GDB: 120286 PHOSPHORYLASE KINASE, BETA SUBUNIT; PHKB PHKG2 GDB: 140316 PHOSPHORYLASE KINASE, TESTIS/LIVER, GAMMA 2; PHKG2 PKD1 GDB: 120293 POLYCYSTIC KIDNEYS POLYCYSTIC KIDNEY DISEASE 1; PKD1 PKDTS GDB: 9954545 POLYCYSTIC KIDNEY DISEASE, INFANTILE SEVERE, WITH TUBEROUS SCLEROSIS; PMM2 GDB: 438697 CARBOHYDRATE-DEFICIENT GLYCOPROTEIN SYNDROME, TYPE I; CDG1 PHOSPHOMANNOMUTASE 2; PMM2 PXE GDB: 6053895 PSEUDOXANTHOMA ELASTICUM, AUTOSOMAL DOMINANT; PXE PSEUDOXANTHOMA ELASTICUM, AUTOSOMAL RECESSIVE; PXE SALL1 GDB: 4216161 TOWNES-BROCKS SYNDROME; TBS SAL-LIKE 1; SALL1 SCA4 GDB: 250364 SPINOCEREBELLAR ATAXIA 4; SCA4 SCNN1B GDB: 434471 SODIUM CHANNEL, NONVOLTAGE-GATED 1 BETA; SCNN1B SCNN1G GDB: 568759 SODIUM CHANNEL, NONVOLTAGE-GATED 1 GAMMA; SCNN1G TAT GDB: 120398 TYROSINE TRANSAMINASE DEFICIENCY TSC2 GDB: 120466 TUBEROUS SCLEROSIS-2; TSC2 VDI GDB: 119629 DEFECTIVE INTERFERING PARTICLE INDUCTION, CONTROL OF WT3 GDB: 9958957 WILMS TUMOR, TYPE III; WT3

TABLE 19 Genes, Locations and Genetic Disorders on Chromosome 17 Gene GDB Accession ID OMIM Link ABR GDB: 119642 ACTIVE BCR-RELATED GENE; ABR ACACA GDB: 120534 ACETYL-CoA CARBOXYLASE DEFICIENCY ACADVL GDB: 1248185 ACYL-CoA DEHYDROGENASE, VERY-LONG-CHAIN, DEFICIENCY OF ACE GDB: 119840 DIPEPTIDYL CARBOXYPEPTIDASE-1; DCP1 ALDH3A2 GDB: 1316855 SJOGREN-LARSSON SYNDROME; SLS APOH GDB: 118887 APOLIPOPROTEIN H; APOH ASPA GDB: 231014 SPONGY DEGENERATION OF CENTRAL NERVOUS SYSTEM AXIN2 GDB: 9864782 CANCER OF COLON BCL5 GDB: 125178 LEUKEMIA/LYMPHOMA, CHRONIC B-CELL, 5; BCL5 BHD GDB: 11498904 WITH TRICHODISCOMAS AND ACROCHORDONS BLMH GDB: 3801467 BLEOMYCIN HYDROLASE BRCA1 GDB: 126611 BREAST CANCER, TYPE 1; BRCA1 CACD GDB: 5885801 CHOROIDAL DYSTROPHY, CENTRAL AREOLAR; CACD CCA1 GDB: 118763 CATARACT, CONGENITAL, CERULEAN TYPE 1; CCA1 CCZS GDB: 681973 CATARACT, CONGENITAL ZONULAR, WITH SUTURAL OPACITIES; CCZS CHRNB1 GDB: 120587 CHOLINERGIC RECEPTOR, NICOTINIC, BETA POLYPEPTIDE 1; CHRNB1 CHRNE GDB: 132246 CHOLINERGIC RECEPTOR, NICOTINIC, EPSILON POLYPEPTIDE; CHRNE CMT1A GDB: 119785 CHARCOT-MARIE-TOOTH DISEASE, TYPE 1A; CMT1A NEUROPATHY, HEREDITARY, WITH LIABILITY TO PRESSURE PALSIES; HNPP COL1A1 GDB: 119061 COLLAGEN, TYPE I, ALPHA-1 CHAIN; COL1A1 OSTEOGENESIS IMPERFECTA TYPE I OSTEOGENESIS IMPERFECTA TYPE IV; OI4 CORD5 GDB: 568473 CONE-ROD DYSTROPHY-5; CORD5 CTNS GDB: 700761 CYSTINOSIS, EARLY-ONSET OR INFANTILE NEPHROPATHIC TYPE EPX GDB: 377700 EOSINOPHIL PEROXIDASE; EPX ERBB2 GDB: 120613 V-ERB-B2 AVIAN ERYTHROBLASTIC LEUKEMIA VIRAL ONCOGENE HOMOLOG 2; ERBB2 G6PC GDB: 231927 GLYCOGEN STORAGE DISEASE I; GSD-I GAA GDB: 119965 GLYCOGEN STORAGE DISEASE II GALK1 GDB: 119246 GALACTOKINASE DEFICIENCY GCGR GDB: 304516 GLUCAGON RECEPTOR; GCGR GFAP GDB: 118799 GLIAL FIBRILLARY ACIDIC PROTEIN; GFAP ALEXANDER DISEASE GH1 GDB: 119982 GROWTH HORMONE 1; GH1 GH2 GDB: 119983 GROWTH HORMONE 2; GH2 GP1BA GDB: 118806 GIANT PLATELET SYNDROME GPSC GDB: 9954564 FAMILIAL PROGRESSIVE SUBCORTICAL GUCY2D GDB: 136012 AMAUROSIS CONGENITA OF LEBER I GUANYLATE CYCLASE 2D, MEMBRANE; GUC2D CONE-ROD DYSTROPHY-6; CORD6 ITGA2B GDB: 120012 THROMBASTHENIA OF GLANZMANN AND NAEGELI ITGB3 GDB: 120013 INTEGRIN, BETA-3; ITGB3 ITGB4 GDB: 128028 INTEGRIN, BETA-4; ITGB4 KRT10 GDB: 118828 KERATIN 10; KRT10 KRT12 GDB: 5583953 CORNEAL DYSTROPHY, JUVENILE EPITHELIAL, OF MEESMANN KERATIN 12; KRT12 KRT13 GDB: 120740 KERATIN 13; KRT13 KRT14 GDB: 132145 KERATIN 14; KRT14 GLUTATHIONE SYNTHETASE; GSS KRT14L1 GDB: 120121 KERATIN 14; KRT14 KRT14L2 GDB: 120122 KERATIN 14; KRT14 KRT14L3 GDB: 120123 KERATIN 14; KRT14 KRT16 GDB: 136207 KERATIN 16; KRT16 KRT16L1 GDB: 120125 KERATIN 16; KRT16 KRT16L2 GDB: 120126 KERATIN 16; KRT16 KRT17 GDB: 136211 KERATIN 17; KRT17 PACHYONYCHIA CONGENITA, JACKSON-LAWLER TYPE KRT9 GDB: 303970 HYPERKERATOSIS, LOCALIZED EPIDERMOLYTIC MAPT GDB: 119434 MICROTUBULE-ASSOCIATED PROTEIN TAU; MAPT PALLIDOPONTONIGRAL DEGENERATION; PPND DISINHIBITION-DEMENTIA-PARKINSONIS M-AMYOTROPHY COMPLEX; DDPAC MDB GDB: 9958959 MEDULLOBLASTOMA; MDB MDCR GDB: 120525 MELLER-DIEKER LISSENCEPHALY SYNDROME; MDLS PLATELET-ACTIVATING FACTOR ACETYLHYDROLASE, GAMMA SUBUNIT MGI GDB: 9954550 MYASTHENIA GRAVIS, FAMILIAL INFANTILE; FIMG MHS2 GDB: 132580 MALIGNANT HYPERTHERMIA SUSCEPTIBILITY-2; MHS2 MKS1 GDB: 681967 MECKEL SYNDROME; MKS MPO GDB: 120192 MYELOPEROXIDASE DEFICIENCY MUL GDB: 636050 MULIBREY NANISM; MUL MYO15A GDB: 9838006 DEAFNESS, NEUROSENSORY, AUTOSOMAL RECESSIVE, 3; DFNB3 NAGLU GDB: 636533 MUCOPOLYSACCHARIDOSIS TYPE IIIB NAPB GDB: 9954572 NEURITIS WITH BRACHIAL PREDILECTION; NAPB NF1 GDB: 120231 NEUROFIBROMATOSIS, TYPE I; NF1 NME1 GDB: 127965 NON-METASTATIC CELLS 1, PROTEIN EXPRESSED IN; NME1 P4HB GDB: 120708 PROLYL-4-HYDROXYLASE, BETA POLYPEPTIDE; PHDB; PROHB PAFAH1B1 GDB: 677430 MILLER-DIEKER LISSENCEPHALY SYNDROME; MDLS PLATELET-ACTIVATING FACTOR ACETYLHYDROLASE, GAMMA SUBUNIT PECAM1 GDB: 696372 PLATELET-ENDOTHELIAL CELL ADHESION MOLECULE; PECAM1 PEX12 GDB: 6155804 ZELLWEGER SYNDROME; ZS PEROXIN-12; PEX12 PHB GDB: 126600 PROHIBITIN; PHB PMP22 GDB: 134190 CHARCOT-MARIE-TOOTH DISEASE, TYPE 1A; CMT1A HYPERTROPHIC NEUROPATHY OF DEJERINE-SOTTAS PERIPHERAL MYELIN PROTEIN 22; PMP22 PRKAR1A GDB: 120313 MYXOMA, SPOTTY PIGMENTATION, AND ENDOCRINE OVERACTIVITY PROTEIN KINASE, cAMP-DEPENDENT, REGULATORY, TYPE I, ALPHA; PRKAR1A PRKCA GDB: 128015 PROTEIN KINASE C, ALPHA; PRKCA PRKWNK4 GDB: 9954566 PSEUDOHYPOALDOSTERONISM TYPE II, LOCUS B; PHA2B PRP8 GDB: 9957697 RETINITIS PIGMENTOSA-13; RP13 PRPF8 GDB: 392647 RETINITIS PIGMENTOSA-13; RP13 PTLAH GDB: 9957342 APLASIA OR HYPOPLASIA RARA GDB: 120337 RETINOIC ACID RECEPTOR, ALPHA; RARA RCV1 GDB: 135477 RECOVERIN; RCV1 RMSA1 GDB: 304519 REGULATOR OF MITOTIC SPINDLE ASSEMBLY 1; RMSA1 RP17 GDB: 683199 RETINITIS PIGMENTOSA-17; RP17 RSS GDB: 439249 RUSSELL-SILVER SYNDROME; RSS SCN4A GDB: 125181 PERIODIC PARALYSIS II SERPINF2 GDB: 120301 PLASMIN INHIBITOR DEFICIENCY SGCA GDB: 384077 ADHALIN; ADL SGSH GDB: 1319101 MUCOPOLYSACCHARIDOSIS TYPE IIIA SHBG GDB: 125280 SEX HORMONE BINDING GLOBULIN; SHBG SLC2A4 GDB: 119997 SOLUTE CARRIER FAMILY 2, MEMBER 4; SLC2A4 SLC4A1 GDB: 119874 SOLUTE CARRIER FAMILY 4, ANION EXCHANGER, MEMBER 1; SLC4A1 BLOOD GROUP--DIEGO SYSTEM; DI BLOOD GROUP--WRIGHT ANTIGEN; Wr ELLIPTOCYTOSIS, RHESUS-UNLINKED TYPE HEREDITARY HEMOLYTIC SLC6A4 GDB: 134713 SOLUTE CARRIER FAMILY 6, MEMBER 4; SLC6A4 SMCR GDB: 120379 SMITH-MAGENIS SYNDROME; SMS SOST GDB: 10450629 SCLEROSTEOSIS SOX9 GDB: 134730 DYSPLASIA SSTR2 GDB: 134186 SOMATOSTATIN RECEPTOR-2; SSTR2 SYM1 GDB: 512174 SYMPHALANGISM, PROXIMAL; SYM1 SYNS1 GDB: 9862343 SYNOSTOSES, MULTIPLE, WITH BRACHYDACTYLY TCF2 GDB: 125298 TRANSCRIPTION FACTOR-2, HEPATIC; TCF2 THRA GDB: 120730 THYROID HORMONE RECEPTOR, ALPHA 1; THRA TIMP2 GDB: 132612 TISSUE INHIBITOR OF METALLOPROTEINASE-2; TIMP2 TOC GDB: 451978 TYLOSIS WITH ESOPHAGEAL CANCER; TOC TOP2A GDB: 118884 TOPOISOMERASE (DNA) II, ALPHA; TOP2A TP53 GDB: 120445 CANCER, HEPATOCELLULAR LI-FRAUMENI SYNDROME; LFS TUMOR PROTEIN p53; TP53 CARCINOMA VBCH GDB: 9954554 HYPEROSTOSIS CORTICALIS GENERALISATA

TABLE 20 Genes, Locations and Genetic Disorders on Chromosome 18 Gene GDB Accession ID OMIM Link ATP8B1 GDB: 453352 CHOLESTASIS, PROGRESSIVE FAMILIAL INTRAHEPATIC 1; PFIC1 INTRAHEPATIC CHOLESTASIS FAMILIAL INTRAHEPATIC CHOLESTASIS-1; FIC1 BCL2 GDB: 119031 B-CELL CLL/LYMPHOMA 2; BCL2 CNSN GDB: 9954580 CARNOSINEMIA CORD1 GDB: 118773 CONE-ROD DYSTROPHY-1; CORD1 CYB5 GDB: 125236 METHEMOGLOBINEMIA DUE TO DEFICIENCY OF CYTOCHROME b5 DCC GDB: 119838 DELETED IN COLORECTAL CARCINOMA; DCC F5F8D GDB: 6919858 FACTOR V AND FACTOR VIII, COMBINED DEFICIENCY OF; F5F8D FECH GDB: 127282 PROTOPORPHYRIA, ERYTHROPOIETIC FEO GDB: 4378120 POLYOSTOTIC OSTEOLYTIC DYSPLASIA, HEREDITARY EXPANSILE; HEPOD LAMA3 GDB: 251818 LAMININ, ALPHA 3; LAMA3 LCFS2 GDB: 9954578 CANCER MADH4 GDB: 4642788 POLYPOSIS, JUVENILE INTESTINAL MOTHERS AGAINST DECAPENTAPLEGIC, DROSOPHILA, HOMOLOG OF, 4; MADH4 MAFD1 GDB: 120163 MANIC-DEPRESSIVE PSYCHOSIS, AUTOSOMAL MC2R GDB: 135163 ADRENAL UNRESPONSIVENESS TO ACTH MCL GDB: 9954574 LEIOMYOMATA, HEREDITARY MULTIPLE, OF SKIN MYP2 GDB: 9862232 MYOPIA NPC1 GDB: 138178 NIEMANN-PICK DISEASE, TYPE C1; NPC1 SPPK GDB: 606444 PALMOPLANTARIS STRIATA TGFBRE GDB: 250852 TRANSFORMING GROWTH FACTOR, BETA 1 RESPONSE ELEMENT TGIF GDB: 9787150 HOLOPROSENCEPHALY, TYPE 4; HPE4 TTR GDB: 119471 TRANSTHYRETIN; TTR

TABLE 21 Genes, Locations and Genetic Disorders on Chromosome 19 Gene GDB Accession ID OMIM Link AD2 GDB: 118748 ALZHEIMER DISEASE-2; AD2 AMH GDB: 118996 PERSISTENT MULLERIAN DUCT SYNDROME, TYPES I AND II; PMDS ANTI-MULLERIAN HORMONE; AMH APOC2 GDB: 119689 APOLIPOPROTEIN C-II DEFICIENCY, TYPE I HYPERLIPOPROTEINEMIA DUE TO APOE GDB: 119691 APOLIPOPROTEIN E; APOE ATHS GDB: 128803 LIPOPROTEIN PHENOTYPE; ALP BAX GDB: 228082 BCL2-ASSOCIATED X PROTEIN; BAX BCKDHA GDB: 119723 MAPLE SYRUP URINE DISEASE BCL3 GDB: 120561 B-CELL LEUKEMIA/LYMPHOMA-3; BCL3 BFIC GDB: 9954584 BENIGN FAMILIAL INFANTILE CONVULSIONS C3 GDB: 119044 COMPLEMENT COMPONENT-3; C3 CACNA1A GDB: 126432 ATAXIA, PERIODIC VESTIBULOCEREBELLAR HEMIPLEGIC MIGRAINE, FAMILIAL; MHP SPINOCEREBELLAR ATAXIA 6; SCA6 CALCIUM CHANNEL, VOLTAGE-DEPENDENT, P/Q TYPE, ALPHA 1A SUBUNIT; CACNA1A CCO GDB: 119755 CENTRAL CORE DISEASE OF MUSCLE CEACAM5 GDB: 119054 CARCINOEMBRYONIC ANTIGEN; CEA COMP GDB: 344263 EPIPHYSEAL DYSPLASIA, MULTIPLE; MED PSEUDOACHONDROPLASTIC DYSPLASIA CARTILAGE OLIGOMERIC MATRIX PROTEIN; COMP CRX GDB: 333932 CONE-ROD DYSTROPHY-2; CORD2 AMAUROSIS CONGENITA OF LEBER I CONE-ROD HOMEO BOX-CONTAINING GENE DBA GDB: 9600353 ANEMIA, CONGENITAL HYPOPLASTIC, OF BLACKFAN AND DIAMOND DDU GDB: 10796026 URTICARIA; DDU DFNA4 GDB: 606540 DEAFNESS, AUTOSOMAL DOMINANT NONSYNDROMIC SENSORINEURAL, 4; DFNA4 DLL3 GDB: 9959026 VERTEBRAL ANOMALIES DMPK GDB: 119097 DYSTROPHIA MYOTONICA; DM DMWD GDB: 7178354 DYSTROPHIA MYOTONICA; DM DPD1 GDB: 10796170 ENGELMANN DISEASE E11S GDB: 119101 ECHO 11 SENSITIVITY; E11S ELA2 GDB: 118792 ELASTASE-2; ELA2 NEUTROPENIA, CYCLIC EPOR GDB: 125242 ERYTHROPOIETIN RECEPTOR; EPOR ERCC2 GDB: 119112 EXCISION-REPAIR, COMPLEMENTING DEFECTIVE, IN CHINESE HAMSTER, 2; ERCC2 XERODERMA PIGMENTOSUM IV; XP4 ETFB GDB: 119887 ELECTRON TRANSFER FLAVOPROTEIN, BETA POLYPEPTIDE; ETFB EXT3 GDB: 383780 EXOSTOSES, MULTIPLE, TYPE III; EXT3 EYCL1 GDB: 119269 EYE COLOR-1; EYCL1 FTL GDB: 119234 FERRITIN LIGHT CHAIN; FTL FUT1 GDB: 120618 FUCOSYLTRANSFERASE-1; FUT1 FUT2 GDB: 120619 FUCOSYLTRANSFERASE-2; FUT2 FUT6 GDB: 135180 FUCOSYLTRANSFERASE-6; FUT6 GAMT GDB: 1313736 GUANIDINOACETATE METHYLTRANSFERASE; GAMT GCDH GDB: 136004 GLUTARICACIDEMIA I GPI GDB: 120015 GLUCOSEPHOSPHATE ISOMERASE; GPI GUSM GDB: 119291 GLUCURONIDASE, MOUSE, MODIFIER OF; GUSM HB1 GDB: 9954586 BUNDLE BRANCH BLOCK HCL1 GDB: 119304 HAIR COLOR-1; HCL1 HHC2 GDB: 249836 HYPOCALCIURIC HYPERCALCEMIA, FAMILIAL, TYPE II; HHC2 HHC3 GDB: 9955121 HYPOCALCIURIC HYPERCALCEMIA, FAMILIAL, TYPE III; HHC3 ICAM3 GDB: 136236 INTERCELLULAR ADHESION MOLECULE-3; ICAM3 INSR GDB: 119352 INSULIN RECEPTOR; INSR JAK3 GDB: 376460 JANUS KINASE 3 JAK3 KLK3 GDB: 119695 ANTIGEN, PROSTATE-SPECIFIC; APS LDLR GDB: 119362 HYPERCHOLESTEROLEMIA, FAMILIAL; FHC LHB GDB: 119364 LUTEINIZING HORMONE, BETA POLYPEPTIDE; LHB LIG1 GDB: 127274 LIGASE I, DNA, ATP-DEPENDENT; LIG1 LOH19CR1 GDB: 9837482 ANEMIA, CONGENITAL HYPOPLASTIC, OF BLACKFAN AND DIAMOND LYL1 GDB: 120158 LEUKEMIA, LYMPHOID, 1; LYL1 MAN2B1 GDB: 119376 MANNOSIDOSIS, ALPHA B, LYSOSOMAL MCOLN1 GDB: 10013974 MUCOLIPIDOSIS IV MDRV GDB: 6306714 MUSCULAR DYSTROPHY, AUTOSOMAL DOMINANT, WITH RIMMED VACUOLES; MDRV MLLT1 GDB: 136791 MYELOID/LYMPHOID OR MIXED LINEAGE LEUKEMIA, TRANSLOCATED TO, 1; MLLT1 NOTCH3 GDB: 361163 DEMENTIA, HEREDITARY MULTI-INFARCT TYPE NOTCH, DROSOPHILA, HOMOLOG OF, 3; NOTCH3 NPHS1 GDB: 342105 NEPHROSIS 1, CONGENITAL, FINNISH TYPE: NPHS1 OFC3 GDB: 128060 OROFACIAL CLEFT-3; OFC3 OPA3 GDB: 9954590 OPTIC ATROPHY, INFANTILE, WITH CHOREA AND SPASTIC PARAPLEGIA PEPD GDB: 120273 PEPTIDASE D; PEPD PRPF31 GDB: 333911 RETINITIS PIGMENTOSA 11; RP11 PRTN3 GDB: 126876 PROTEINASE 3; PRTN3; PR3 PRX GDB: 11501256 HYPERTROPHIC NEUROPATHY OF DEJERINE-SOTTAS PSG1 GDB: 120321 PREGNANCY-SPECIFIC BETA-1-GLYCOPROTEIN 1; PSG1 PVR GDB: 120324 POLIOVIRUS SUSCEPTIBILITY, OR SENSITIVITY; PVS RYR1 GDB: 120359 CENTRAL CORE DISEASE OF MUSCLE HYPERTHERMIA OF ANESTHESIA RYANODINE RECEPTOR-1; RYR1 SLC5A5 GDB: 5892184 SOLUTE CARRIER FAMILY 5, MEMBER 5; SLC5A5 SLC7A9 GDB: 9958852 CYSTINURIA, TYPE III; CSNU3 STK11 GDB: 9732383 PEUTZ-JEGHERS SYNDROME SERINE/THREONTNE PROTEIN KINASE 11; STK11 TBXA2R GDB: 127517 THROMBOXANE A2 RECEPTOR, PLATELET; TBXA2R TGFB1 GDB: 120729 ENGELMANN DISEASE TRANSFORMING GROWTH FACTOR, BETA-1; TGFB1 TNNI3 GDB: 125309 TROPONIN I, CARDIAC; TNNI3 TYROBP GDB: 9954457 POLYCYSTIC LIPOMEMBRANOUS OSTEODYSPLASIA WITH SCLEROSING LEUKOENCEPHALOPATHY

TABLE 22 Genes, Locations and Genetic Disorders on Chromosome 20 Gene GDB Accession ID OMIM Link ADA GDB: 119649 ADENOSINE DEAMINASE; ADA AHCY GDB: 118983 S-ADENOSYLHOMOCYSTEINE HYDROLASE; AHCY AVP GDB: 119009 DIABETES INSIPIDUS, NEUROHYPOPHYSEAL TYPE ARGININE VASOPRESSIN; AVP CDAN2 GDB: 9823270 DYSERYTHROPOIETIC ANEMIA, CONGENITAL, TYPE II CDMP1 GDB: 438940 CHONDRODYSPLASIA, GREBE TYPE CARTILAGE-DERIVED MORPHOGENETIC PROTEIN 1 CHED1 GDB: 3837719 CORNEAL DYSTROPHY, CONGENITAL ENDOTHELIAL; CHED CHRNA4 GDB: 128169 CHOLINERGIC RECEPTOR, NEURONAL NICOTINIC, ALPHA POLYPEPTIDE 4; CHRNA4 EPILEPSY, BENIGN NEONATAL; EBN1 CST3 GDB: 119817 AMYLOIDOSIS VI EDN3 GDB: 119862 ENDOTHELTN-3; EDN3 WAARDENBURG-SHAH SYNDROME EEGV1 GDB: 127525 ELECTROENCEPHALOGRAM, LOW-VOLTAGE FTLL1 GDB: 119235 FERRITIN LIGHT CHAIN; FTL GNAS GDB: 120628 GUANTNE NUCLEOTIDE-BINDING PROTEIN, ALPHA-STIMULATING POLYPEPTIDE; GSS GDB: 637022 GLUTATHIONE SYNTHETASE DEFICIENCY OF ERYTHROCYTES, HEMOLYTIC ANEMIA PYROGLUTAMIC ACIDURIA HNF4AGDB: 393281DIABETES MELLITUS, AUTOSOMAL DOMINANT TRANSCRIPTION FACTOR 14, HEPATIC NUCLEAR FACTOR; TCF14 JAG1 GDB: 6175920 CHOLESTASIS WITH PERIPHERAL PULMONARY STENOSIS JAGGED 1; JAG1 KCNQ2 GDB: 9787229 EPILEPSY, BENIGN NEONATAL; EBN1 POTASSIUM CHANNEL, VOLTAGE-GATED, SUBFAMILY Q, MEMBER 2 MKKS GDB: 9860197 HYDROMETROCOLPOS SYNDROME NBIA1 GDB: 4252819 HALLERVORDEN-SPATZ DISEASE PCK1 GDB: 125349 PHOSPHOENOLPYRUVATE CARBOXYKINASE 1, SOLUBLE; PCK1 PI3 GDB: 203940 PROTEINASE INHIBITOR 3; PI3 PPGB GDB: 119507 NEURAMINIDASE DEFICIENCY WITH BETA-GALACTOSIDASE DEFICIENCY PPMD GDB: 702144 CORNEAL DYSTROPHY, HEREDITARY POLYMORPHOUS POSTERIOR; PPCD PRNP GDB: 120720 GERSTMANN-STRAUSSLER DISEASE; GSD PRION PROTEIN; PRNP THBD GDB: 119613 THROMBOMODULIN; THBD TOP1 GDB: 120444 TOPOISOMERASE (DNA) I; TOP1

TABLE 23 Genes, Locations and Genetic Disorders on Chromosome 21 Gene GDB Accession ID OMIM Link AIRE GDB: 567198 AUTOIMMUNE POLYENDOCRINOPATHY-CANDIDIAS IS-ECTODERMAL DYSTROPHY; APECED APP GDB: 119692 ALZHEIMER DISEASE; AD AMYLOID BETA A4 PRECURSOR PROTEIN; APP CBS GDB: 119754 HOMOCYSTINURIA COL6A1 GDB: 119065 COLLAGEN, TYPE VI, ALPHA-1 CHAIN; COL6A1 MYOPATHY, BENIGN CONGENITAL, WITH CONTRACTURES COL6A2 GDB: 119793 COLLAGEN, TYPE VI, ALPHA-2 CHAIN; COL6A2 MYOPATHY, BENIGN CONGENITAL, WITH CONTRACTURES CSTB GDB: 5215249 MYOCLONUS EPILEPSY OF UNVERRICHT AND LUNDBORG CYSTATIN B; CSTB DCR GDB: 125354 TRISOMY 21 DSCR1 GDB: 731000 TRISOMY 21 FPDMM GDB: 9954610 CORE-BINDING FACTOR, RUNT DOMAIN, ALPHA SUBUNIT 2; CBFA2 PLATELET DISORDER, FAMILIAL, WITH ASSOCIATED MYELOID MALIGNANCY HLCS GDB: 392648 MULTIPLE CARBOXYLASE DEFICIENCY, BIOTIN-RESPONSIVE; MCD HPE1 GDB: 136065 HOLOPROSENCEPHALY, FAMILIAL ALOBAR ITGB2 GDB: 120574 INTEGRIN BETA-2; ITGB2 KCNE1 GDB: 127909 POTASSIUM VOLTAGE-GATED CHANNEL, ISK-RELATED SUBFAMILY, MEMBER 1; KNO GDB: 4073044 KNOBLOCH SYNDROME; KNO PRSS7 GDB: 384083 ENTEROKINASE DEFICIENCY RUNX1 GDB: 128313 CORE-BINDING FACTOR, RUNT DOMAIN, ALPHA SUBUNIT 2; CBFA2 PLATELET DISORDER, FAMILIAL, WITH ASSOCIATED MYELOID MALIGNANCY SOD1 GDB: 119596 AMYOTROPHIC LATERAL SCLEROSIS SUPEROXIDE DISMUTASE-1; SOD1 MUSCULAR ATROPHY, PROGRESSIVE, WITH AMYOTROPHIC LATERAL SCLEROSIS TAM GDB: 9958709 MYELOPROLIFERATIVE SYNDROME, TRANSIENT

TABLE 24 Genes, Locations and Genetic Disorders on Chromosome 22 Gene GDB Accession ID OMIM Link ADSL GDB: 119655 ADENYLOSUCCINATE LYASE; ADSL ARSA GDB: 119007 METACHROMATIC LEUKODYSTROPHY, LATE-INFANTILE BCR GDB: 120562 BREAKPOINT CLUSTER REGION; BCR CECR GDB: 119772 CAT EYE SYNDROME; CES CHEK2 GDB: 9958730 LI-FRAUMENI SYNDROME; LFS OSTEOGENIC SARCOMA COMT GDB: 119795 CATECHOL-O-METHYLTRANSFERASE; COMT CRYBB2 GDB: 119075 CRYSTALLIN, BETA B2; CRYBB2 CATARACT, CONGENITAL, CERULEAN TYPE, 2; CCA2 CSF2RB GDB: 126838 GRANULOCYTE-MACROPHAGE COLONY-STIMULATING FACTOR RECEPTOR, BETA SUBUNIT; CTHM GDB: 439247 HEART MALFORMATIONS; CTHM CYP2D6 GDB: 132127 CYTOCHROME P450, SUBFAMILY IID; CYP2D CYP2D@ GDB: 119832 CYTOCHROME P450, SUBFAMILY IID; CYP2D DGCR GDB: 119843 DIGEORGE SYNDROME; DGS DIA1 GDB: 119848 METHEMOGLOBINEMIA DUE TO DEFICIENCY OF METHEMOGLOBIN REDUCTASE EWSR1 GDB: 135984 EWING SARCOMA; EWS GGT1 GDB: 120623 GLUTATHIONURIA MGCR GDB: 120180 MENINGIOMA; MGM MN1 GDB: 580528 MENINGIOMA; MGM NAGA GDB: 119445 ALPHA-GALACTOSIDASE B; GALB NF2 GDB: 120232 NEUROFIBROMATOSIS, TYPE II; NF2 OGS2 GDB: 9954619 HYPERTELORISM WITH ESOPHAGEAL ABNORMALITY AND HYPOSPADIAS PDGFB GDB: 120709 V-SIS PLATELET-DERIVED GROWTH FACTOR BETA POLYPEPTIDE; PDGFB PPARA GDB: 202877 PEROXISOME PROLIFERATOR ACTIVATED RECEPTOR, ALPHA; PPARA PRODH GDB: 5215168 HYPERPROLINEMIA, TYPE I SCO2 GDB: 9958568 CYTOCHROME c OXIDASE DEFICIENCY SCZD4 GDB: 1387047 SCHIZOPHRENIA DISORDER-4; SCZD4 SERPIND1 GDB: 120038 HEPARIN COFACTOR II; HCF2 SLC5A1 GDB: 120375 SOLUTE CARRIER FAMILY 5, MEMBER 1; SLC5A1 SOX10 GDB: 9834028 SRY-BOX 10; SOX10 TCN2 GDB: 119608 TRANSCOBALAMIN II DEFICIENCY TIMP3 GDB: 138175 TISSUE INHIBITOR OF METALLOPROTEINASE-3; TIMP3 VCF GDB: 136422 VELOCARDIOFACIAL SYNDROME

TABLE 25 Genes, Locations and Genetic Disorders on Chromosome X Gene GDB Accession ID OMIM Link ABCD1 GDB: 118991 ADRENOLEUKODYSTROPHY; ALD ACTL1 GDB: 119648 ACTIN-LIKE SEQUENCE-1; ACTL1 ADFN GDB: 118977 ALBINISM-DEAFNESS SYNDROME; ADFN; ALDS AGMX2 GDB: 119661 AGAMMAGLOBULINEMIA, X-LINKED, TYPE 2; AGMX2; XLA2 AHDS GDB: 125899 MENTAL RETARDATION, X-LINKED, WITH HYPOTONIA AIC GDB: 118986 CORPUS CALLOSUM, AGENESIS OF, WITH CHORIORETINAL ABNORMALITY AIED GDB: 119663 ALBINISM, OCULAR, TYPE 2; OA2 AIH3 GDB: 131443 AMELOGENESIS IMPERFECTA-3, HYPOPLASTIC TYPE; AIH3 ALAS2 GDB: 119666 ANEMIA, HYPOCHROMIC AMCD GDB: 5584286 ARTHROGRYPOSIS MULTIPLEX CONGENITA, DISTAL AMELX GDB: 119675 AMELOGENESIS IMPERFECT A-1, HYPOPLASTIC TYPE; AIH1 ANOP1 GDB: 128454 CLINICAL; ANOP1 AR GDB: 120556 ANDROGEN INSENSITIVITY SYNDROME; AIS ANDROGEN RECEPTOR; AR ARAF1 GDB: 119004 V-RAF MURINE SARCOMA 3611 VIRAL ONCOGENE HOMOLOG 1; ARAF1 ARSC2 GDB: 119702 ARYLSULFATASE C, fFORM; ARSC2 ARSE GDB: 555743 CHONDRODYSPLASIA PUNCTATA 1, X-LINKED RECESSIVE; CDPX1 ARTS GDB: 9954651 FATAL X-LINKED, WITH DEAFNESS AND LOSS OF VISION ASAT GDB: 9954649 SEDEROBLASTIC, AND SPINOCEREBELLAR ATAXIA; ASAT ASSP5 GDB: 119019 CITRULLINEMIA ATP7A GDB: 119395 ATPase, Cu(2+)-TRANSPORTING, ALPHA POLYPEPTIDE; ATP7A MENKES SYNDROME ATRX GDB: 136052 ALPHA-THALASSEMIA/MENTAL RETARDATION SYNDROME, X-LINKED; ATRX ALPHA-THALASSEMIA/MENTAL RETARDATION SYNDROME, NONDELETION TYPE AVPR2 GDB: 131475 DIABETES INSIPIDUS, NEPHROGENIC BFLS GDB: 120566 BORJESON SYNDROME; BORJ BGN GDB: 119727 BIGLYCAN; BGN BTK GDB: 120542 BRUTON AGAMMAGLOBULINEMIA TYROSINE KINASE; BTK BZX GDB: 5205912 BAZEX SYNDROME; BZX C1HR GDB: 119040 TATA BOX BINDING PROTEIN (TBP)-ASSOCIATED FACTOR 2A; TAF2A CACNA1F GDB: 6053864 NIGHTBLINDNESS, CONGENITAL STATIONARY, X-LINKED, TYPE 2; CSNB2 CALCIUM CHANNEL, VOLTAGE-DEPENDENT, ALPHA 1F SUBUNIT; CACNA1F CALB3 GDB: 133780 CALBINDIN 3; CALB3 CBBM GDB: 9958963 COLORBLINDNESS, BLUE-MONO-CONE-MONOCHROMATIC TYPE; CBBM CCT GDB: 119756 CATARACT, CONGENITAL TOTAL, WITH POSTERIOR SUTURAL OPACITIES IN HETEROZYGOTES; CDR1 GDB: 119053 CEREBELLAR DEGENERATION-RELATED AUTOANTIGEN-1; CDR1; CDR34 CFNS GDB: 9579470 CRANIOFRONTONASAL SYNDROME; CFNS CGF1 GDB: 6275867 COGNITION CHM GDB: 120400 CHOROIDEREMIA; CHM CHR39C GDB: 119779 CHOLESTEROL REPRESSIBLE PROTEIN 39C; CHR39C CIDX GDB: 127736 SEVERE COMBINED IMMUNODEFICIENCY DISEASE, X-LINKED, 2; SCIDX2 CLA2 GDB: 119782 CEREBELLAR ATAXIA, X-LINKED; CLA2 CLCN5 GDB: 270667 CHLORIDE CHANNEL 5; CLCN5 FANCONI SYNDROME, RENAL, WITH NEPHROCALCINOSIS AND RENAL STONES NEPHROLITHIASIS, X-LINKED RECESSIVE, WITH RENAL FAILURE; XRN CLS GDB: 119784 RIBOSOMAL PROTEIN S6 KINASE, 90 KD, POLYPEPTIDE 3; RPS6KA3 COFFIN-LOWRY SYNDROME; CLS CMTX2 GDB: 128311 CHARCOT-MARIE-TOOTH NEUROPATHY, X-LINKED RECESSIVE, 2; CMTX2 CMTX3 GDB: 128151 CHARCOT-MARIE-TOOTH NEUROPATHY, X-LINKED RECESSIVE, 3; CMTX3 CND GDB: 9954627 DERMOIDS OF CORNEA; CND COD1 GDB: 119787 CONE DYSTROPHY, X-LINKED, 1; COD1 COD2 GDB: 6520166 CONE DYSTROPHY, X-LINKED, 2; COD2 COL4A5 GDB: 120596 COLLAGEN, TYPE IV, ALPHA-5 CHAIN; COL4A5 LEIOMYOMATOSIS, ESOPHAGEAL AND VULVAL, WITH NEPHROPATHY COL4A6 GDB: 222775 COLLAGEN, TYPE IV, ALPHA-6 CHAIN; COL4A6 LEIOMYOMATOSIS, ESOPHAGEAL AND VULVAL, WITH NEPHROPATHY CPX GDB: 120598 CLEFT PALATE, X-LINKED; CPX CVD1 GDB: 9954659 CARDIAC VALVULAR DYSPLASIA, X-LINKED CYBB GDB: 120513 GRANULOMATOUS DISEASE, CHRONIC; CGD DCX GDB: 9823272 LISSENCEPHALY, X-LINKED DFN2 GDB: 119091 DEAFNESS, X-LINKED 2, PERCEPTIVE CONGENITAL; DFN2 DFN4 GDB: 433255 DEAFNESS, X-LINKED 4, CONGENITAL SENSORINEURAL; DFN4 DFN6 GDB: 1320698 DEAFNESS, X-LINKED, 6, PROGRESSIVE; DFN6 DHOF GDB: 119847 FOCAL DERMAL HYPOPLASIA; DHOF DIAPH2 GDB: 9835484 DIAPHANOUS, DROSOPHILA, HOMOLOG OF, 2 DKC1GDB: 119096 DYSKERATOSIS CONGENITA; DKC DMD GDB: 119850 MUSCULAR DYSTROPHY, PSEUDOHYPERTROPHIC PROGRESSIVE, DUCHENNE AND BECKER DSS GDB: 433750 DOSAGE-SENSITIVE SEX REVERSAL; DSS DYT3 GDB: 118789 TORSION DYSTONIA-3, X-LINKED TYPE; DYT3 EBM GDB: 119102 BULLOUS DYSTROPHY, HEREDITARY MACULAR TYPE EBP GDB: 125212 CHONDRODYSPLASIA PUNCTATA, X-LINKED DOMINANT; CDPX2; CDPXD; CPXD ED1 GDB: 119859 ECTODERMAL DYSPLASIA, ANHIDROTIC; EDA ELK1 GDB: 119867 ELK1, MEMBER OF ETS ONCOGENE FAMILY; ELK1 EMD GDB: 119108 MUSCULAR DYSTROPHY, TARDIVE, DREIFUSS-EMERY TYPE, WITH CONTRACTURES EVR2 GDB: 136068 EXUDATIVE VITREORETINOPATHY, FAMILIAL, X-LINKED RECESSIVE; EVR2 F8C GDB: 119124 HEMOPHILIA A F9 GDB: 119900 HEMOPHILIA B; HEMB FCP1 GDB: 347490 F-CELL PRODUCTION, X-LINKED; FCPX FDPSL5 GDB: 119922 SYNTHETASE-5; FPSL5 FGD1 GDB: 119131 SYNDROME FACIOGENITAL DYSPLASIA; FGDY FGS1 GDB: 9836950 FG SYNDROME FMR1 GDB: 129038 FRAGILE SITE MENTAL RETARDATION-1; FMR1 FMR2 GDB: 141566 FRAGILE SITE, FOLIC ACID TYPE, RARE, FRA(X)(q28); FRAXE G6PD GDB: 120621 GLUCOSE-6-PHOSPHATE DEHYDROGENASE; G6PD GABRA3 GDB: 119968 GAMMA-AMINOBUTYRIC ACID RECEPTOR, ALPHA-3; GABRA3 GATA1 GDB: 125373 GATA-BINDING PROTEIN 1; GATA1 GDI1 GDB: 1347097 GDP DISSOCIATION INHIBITOR 1; GDI1 MENTAL RETARDATION, X-LINKED NONSPECIFIC, TYPE 3; MRX3 GDXY GDB: 9954629 DYSGENESIS, XY FEMALE TYPE; GDXY GJB1 GDB: 125246 CHARCOT-MARIE-TOOTH PERONEAL MUSCULAR ATROPHY, X-LINKED; CMTX1 GAP JUNCTION PROTEIN, BETA-1, 32 KD; GJB1 GK GDB: 119271 HYPERGLYCEROLEMIA GLA GDB: 119272 ANGIOKERATOMA, DIFFUSE GPC3 GDB: 3770726 GLYPICAN-3; GPC3 SIMPSON DYSMORPHIA SYNDROME; SDYS GRPR GDB: 128035 GASTRIN-RELEASING PEPTIDE RECEPTOR; GRPR GTD GDB: 9954635 GONADOTROPIN DEFICIENCY; GTD GUST GDB: 9954655 MENTAL RETARDATION WITH OPTIC ATROPHY, DEAFNESS, AND SEIZURES HMS1 GDB: 251827 1; HMS1 HPRT1 GDB: 119317 HYPOXANTHINE GUANINE PHOSPHORIBOSYLTRANSFERASE 1; HPRT1 HPT GDB: 119322 HYPOPARATHYROIDISM, X-LINKED; HYPX HTC2 GDB: 700980 HYPERTRICHOSIS, CONGENITAL GENERALIZED; CGH; HCG HTR2C GDB: 378202 5-@HYDROXYTRYPTAMINE RECEPTOR 2C; HTR2C HYR GDB: 9954625 REGULATOR; HYR IDS GDB: 120521 MUCOPOLYSACCHARIDOSIS TYPE II IHG1 GDB: 119343 HYPOPLASIA OF, WITH GLAUCOMA; IHG IL2RG GDB: 134807 INTERLEUKIN-2 RECEPTOR, GAMMA; IL2RG SEVERE COMBINED IMMUNODEFICIENCY DISEASE, X-LINKED, 2; SCIDX2 INDX GDB: 9954657 IMMUNONEUROLOGIC DISORDER, X-LINKED IP1 GDB: 120105 INCONTINENTIA PIGMENTI, TYPE I; IP1 IP2 GDB: 120106 INCONTINENTIA PIGMENTI, TYPE E; TP2 JMS GDB: 204055 MENTAL RETARDATION, X-LINKED, WITH GROWTH RETARDATION, DEAFNESS, AND KAL1 GDB: 120116 KALLMANN SYNDROME 1; KAL1 KFSD GDB: 128174 KERATOSIS FOLLICULARIS SPINULOSA DECALVANS CUM OPHIASI; KFSD L1CAM GDB: 120133 CLASPED THUMB AND MENTAL RETARDATION L1 CELL ADHESION MOLECULE; L1CAM LAMP2 GDB: 125376 LYSOSOME-ASSOCIATED MEMBRANE PROTEIN B; LAMP2; LAMPB MAA GDB: 119372 MICROPHTHALMIA OR ANOPHTHALMOS, WITH ASSOCIATED ANOMALIES; MAA MAFD2 GDB: 119373 PSYCHOSIS, X-LINKED MAOA GDB: 120164 MONOAMINE OXIDASE A; MAOA MAOB GDB: 119377 MONOAMINE OXIDASE B; MAOB MCF2 GDB: 120168 MCF.2 CELL LINE DERIVED TRANSFORMING SEQUENCE; MCF2 MCS GDB: 128370 MENTAL RETARDATION, X-LINKED, SYNDROMIC-4, WITH CONGENITAL CONTRACTURES MEAX GDB: 119383 X-LINKED, WITH EXCESSIVE AUTOPHAGY; XMEA; MEAX MECP2 GDB: 3851454 SYNDROME; RTT MF4 GDB: 119386 METACARPAL 4-5 FUSION; MF4 MGC1 GDB: 120179 MEGALOCORNEA; MGC1; MGCN MIC5 GDB: 120526 SURFACE ANTIGEN, X-LINKED; SAX MID1 GDB: 9772232 OPITZ SYNDROME MLLT7 GDB: 392309 MYELOID/LYMPHOID OR MIXED-LINEAGE LEUKEMIA, TRANSLOCATED TO, 7; MLLT7 MLS GDB: 262123 MICROPHTHALMIA WITH LINEAR SKIN DEFECTS; MLS MRSD GDB: 119398 MENTAL RETARDATION, SKELETAL DYSPLASIA, AND ABDUCENS PALSY; MRSD MRX14 GDB: 138453 RETARDATION, X-LINKED 14; MRX14 MRX1 GDB: 120193 MENTAL RETARDATION, X-LINKED NONSPECIFIC, TYPE 1; MRX1 MRX20 GDB: 217050 MENTAL RETARDATION, X-LINKED 20; MRX20 MRX2 GDB: 120194 RETARDATION, X-LINKED NONSPECIFIC, TYPE 2; MRX2 MRX3 GDB: 128105 GDP DISSOCIATION INHIBITOR 1; GDI1 MENTAL RETARDATION, X-LINKED NONSPECIFIC, TYPE 3; MRX3 MRX40 GDB: 700754 MENTAL RETARDATION, X-LINKED, WITH HYPOTONIA MRXA GDB: 9954641 MENTAL RETARDATION, X-LINKED NONSPECIFIC, WITH APHASIA; MRXA MSD GDB: 119399 SYNDROME MTM1 GDB: 119439 MYOTUBULAR MYOPATHY 1; MTM1 MYCL2 GDB: 120209 MYCL-RELATED PROCESSED GENE; MYCL2 MYP1 GDB: 127783 MYOPIA, X-LINKED; MYP1 NDP GDB: 119449 NORRIE DISEASE; NDP NHS GDB: 120235 CATARACT-DENTAL SYNDROME NPHL1 GDB: 433705 NEPHROLITHIASIS, X-LINKED RECESSIVE, WITH RENAL FAILURE; XRN NR0B1 GDB: 118982 ADRENAL HYPOPLASIA, CONGENITAL; AHC NSX GDB: 125596 SYNDROME; NSX NYS1 GDB: 119458 NYSTAGMUS, X-LINKED; NYS NYX GDB: 119814 NIGHTBLINDNESS, CONGENITAL STATIONARY, WITH MYOPIA; CSNB1 OA1 GDB: 119459 ALBINISM, OCULAR, TYPE 1; OA1 OASD GDB: 138457 OCULAR, WITH LATE-ONSET SENSORINEURAL DEAFNESS; OASD OCRL GDB: 119461 LOWE OCULOCEREBRORENAL SYNDROME; OCRL ODT1 GDB: 125360 TEETH, ABSENCE OF OFD1 GDB: 120248 OROFACIODIGITAL SYNDROME 1; OFD1 OPA2 GDB: 125358 OPTIC ATROPHY 2; OPA2 OPD1 GDB: 120249 OTOPALATODIGITAL SYNDROME OPEM GDB: 119467 OPHTHALMOPLEGIA, EXTERNAL, AND MYOPIA; OPEM OPN1LW GDB: 120724 COLORBLINDNESS, PARTIAL, PROTAN SERIES; CBP OPN1MW GDB: 120622 COLORBLINDNESS, PARTIAL, DEUTAN SERIES; CBD; DCB OTC GDB: 119468 ORNITHINE TRANSCARBAMYLASE DEFICIENCY, HYPERAMMONEMIA DUE TO; OTC P3 GDB: 9954667 PROTEIN P3 PDHA1 GDB: 118895 PYRUVATE DEHYDROGENASE COMPLEX, E1-ALPHA POLYPEPTIDE-1; PDHA1 PDR GDB: 203409 AMYLOIDOSIS, FAMILIAL CUTANEOUS PFC GDB: 120275 PROPERDIN DEFICIENCY, X-LINKED PFKFB1 GDB: 125375 6-@PHOSPHOFRUCTO-2-KINASE; PFKFB1 PGK1 GDB: 120282 PHOSPHOGLYCERATE KINASE 1; PGK1 PGK1P1 GDB: 120283 PHOSPHOGLYCERATE KINASE 1; PGK1 PGS GDB: 128372 DANDY-WALKER MALFORMATION WITH MENTAL RETARDATION, BASAL GANGLIA DISEASE, PHEX GDB: 120520 HYPOPHOSPHATEMIA, VITAMIN D-RESISTANT RICKETS; HYP PHKA1 GDB: 120285 PHOSPHORYLASE KINASE, ALPHA 1 SUBUNIT (MUSCLE); PHKA1 PHKA2 GDB: 127279 GLYCOGEN STORAGE DISEASE VIII PHP GDB: 119494 PANHYPOPITUITARISM; PHP PIGA GDB: 138138 PHOSPHATIDYLINOSITOL GLYCAN, CLASS A; PIGA PLP1 GDB: 120302 PROTEOLIPID PROTEIN, MYELIN; PLP POF1 GDB: 120716 PREMATURE OVARIAN FAILURE 1; POF1 POLA GDB: 120304 POLYMERASE, DNA, ALPHA; POLA POU3F4 GDB: 351386 DEAFNESS, CONDUCTIVE, WITH STAPES FIXATION PPMX GDB: 9954669 RETARDATION WITH PSYCHOSIS, PYRAMIDAL SIGNS, AND MACROORCHIDISM PRD GDB: 371323 DYSPLASIA, PRIMARY PRPS1 GDB: 120318 PHOSPHORIBOSYLPYROPHOSPHATE SYNTHETASE-I; PRPS1 PRPS2 GDB: 120320 PHOSPHORIBOSYLPYROPHOSPHATE SYNTHETASE-II; PRPS2 PRS GDB: 128368 MENTAL RETARDATION, X-LINKED, SYNDROMIC-2, WITH DYSMORPHISM AND CEREBRAL PRTS GDB: 128367 PARTINGTON X-LINKED MENTAL RETARDATION SYNDROME; PRTS PSF2 GDB: 119519 TRANSPORTER 2, ABC; TAP2 RENBP GDB: 133792 RENIN-BINDING PROTEIN; RENBP RENS1 GDB: 9806348 MENTAL RETARDATION, X-LINKED, RENPENNING TYPE RP2 GDB: 120353 RETINITIS PIGMENTOSA-2; RP2 RP6 GDB: 125381 PIGMENTOSA-6; RP6 RPGR GDB: 118736 RETINITIS PIGMENTOSA-3; RP3 RPS4X GDB: 128115 RIBOSOMAL PROTEIN S4, X-LINKED; RPS4X RPS6KA3 GDB: 365648 RIBOSOMAL PROTEIN S6 KINASE, 90 KD, POLYPEPTEDE 3; RPS6KA3 RS1 GDB: 119581 RETINOSCHISIS; RS S11 GDB: 120361 ANTIGEN, X-LINKED, SECOND; SAX2 SDYS GDB: 119590 GLYPICAN-3; GPC3 SIMPSON DYSMORPHIA SYNDROME; SDYS SEDL GDB: 120372 SPONDYLOEPIPHYSEAL DYSPLASIA, LATE; SEDL SERPINA7 GDB: 120399 THYROXINE-BINDING GLOBULIN OF SERUM; TBG SH2D1A GDB: 120701 IMMUNODEFICIENCY, X-LINKED PROGRESSIVE COMBINED VARIABLE SHFM2 GDB: 226635 SPLIT-HAND/SPLIT-FOOT ANOMALY, X-LINKED SHOX GDB: 6118451 SHORT STATURE; SS SLC25A5 GDB: 125190 ADENINE NUCLEOTIDE TRANSLOCATOR 2; ANT2 SMAX2 GDB: 9954643 SPINAL MUSCULAR ATROPHY, X-LINKED LETHAL INFANTILE SRPX GDB: 3811398 RETINITIS PIGMENTOSA-3; RP3 SRS GDB: 136337 MENTAL RETARDATION, X-LINKED, SNYDER-ROBINSON TYPE STS GDB: 120393 ICHTHYOSIS, X-LINKED SYN1 GDB: 119606 SYNAPSIN I; SYN1 SYP GDB: 125295 SYNAPTOPHYSIN; SYP TAF1 GDB: 120573 TATA BOX BINDING PROTEIN (TBP)-ASSOCIATED FACTOR 2A; TAF2A TAZ GDB: 120609 CARDIOMYOPATHY, DILATED 3A; CMD3A ENDOCARDIAL FIBROELASTOSIS-2; EFE2 TBX22 GDB: 10796448 CLEFT PALATE, X-LINKED; CPX TDD GDB: 119610 MALE PSEUDOHERMAPHRODITISM: DEFICIENCY OF TESTICULAR 17,20-DESMOLASE; TFE3 GDB: 125870 TRANSCRIPTION FACTOR FOR IMMUNOGLOBULIN HEAVY-CHAIN ENHANCER-3; TFE3 THAS GDB: 128158 THORACOABDOMTNAL SYNDROME; TAS THC GDB: 125361 THROMBOCYTOPENIA, X-LINKED; THC; XLT TIMM8A GDB: 119090 DEAFNESS 1, PROGRESSIVE; DFN1 TIMP1 GDB: 119615 TISSUE INHIBITOR OF METALLOPROTEINASE-1; TIMP1 TKCR GDB: 119616 TORTICOLLIS, KELOIDS, CRYPTORCHIDISM, AND RENAL DYSPLASIA; TKC TNFSF5 GDB: 120632 IMMUNODEFICIENCY WITH INCREASED IgM UBE1 GDB: 118954 UBIQUITIN-ACTIVATING ENZYME 1; UBE1 UBE2A GDB: 131647 UBIQUITIN-CONJUGATING ENZYME E2A; UBE2A WAS GDB: 120736 WISKOTT-ALDRICH SYNDROME; WAS WSN GDB: 125864 PARKINSONISM, EARLY-ONSET, WITH MENTAL RETARDATION WTS GDB: 128373 MENTAL RETARDATION, X-LINKED, SYNDROMIC-6, WITH GYNECOMASTIA AND OBESITY; WWS GDB: 120497 WIEACKER SYNDROME XIC GDB: 120498 X-INACTIVATION-SPECIFIC TRANSCRIPT; XIST XIST GDB: 126428 X-INACTIVATION-SPECIFIC TRANSCRIPT; XIST XK GDB: 120499 Xk LOCUS XM GDB: 119634 XM SYSTEM XS GDB: 119636 LUTHERAN SUPPRESSOR, X-LINKED; XS; LUXS ZFX GDB: 120502 ZINC FINGER PROTEIN, X-LINKED; ZFX ZIC3 GDB: 249141 HETEROTAXY, X-LINKED VISCERAL; HTX1 ZNF261 GDB: 9785766 MENTAL RETARDATION, X-LINKED; DXS6673E ZNF41 GDB: 125865 ZINC FINGER PROTEIN-41; ZNF41 ZNF6 GDB: 120508 ZINC FINGER PROTEIN-6; ZNF6

TABLE 26 Genes, Locations and Genetic Disorders on Chromosome Y Gene GDB Accession ID OMIM Link AMELY GDB: 119676 AMELOGENIN, Y-CHROMOSOMAL; AMELY ASSP6 GDB: 119020 CITRULLINEMIA AZF1 GDB: 119027 AZOOSPERMIA FACTOR 1; AZF1 AZF2 GDB: 456131 AZOOSPERMIA FACTOR 2; AZF2 DAZ GDB: 635890 DELETED IN AZOOSPERMIA; DAZ GCY GDB: 119267 CONTROL, Y-CHROMOSOME INFLUENCED; GCY RPS4Y GDB: 128052 RIBOSOMAL PROTEIN S4, Y-LINKED; RPS4Y SMCY GDB: 5875390 HISTOCOMPATIBILITY Y ANTIGEN; HY; HYA SRY GDB: 125556 SEX-DETERMINING REGION Y; SRY ZFY GDB: 120503 ZINC FINGER PROTEIN, Y-LINKED; ZFY

TABLE 27 Genes, Locations and Genetic Disorders in Unknown or Multiple Locations Gene GDB Accession ID OMIM Link ABAT GDB: 581658 GAMMA-AMINOBUTYRATE TRANSAMINASE AEZ GDB: 128360 ACRODERMATITIS ENTEROPATHICA, ZINC-DEFICIENCY TYPE; AEZ AFA GDB: 265277 FILIFORME ADNATUM AND CLEFT PALATE AFD1 GDB: 265292 DYSOSTOSIS, TREACHER COLLINS TYPE, WITH LIMB ANOMALIES AGS1 GDB: 10795417 ENCEPHALOPATHY, FAMILIAL INFANTILE, WITH CALCIFICATION OF BASAL GANGLIA ASAH GDB: 6837715 FARBER LIPOGRANULOMATOSIS ASD1 GDB: 6276019 ATRIAL SEPTAL DEFECT; ASD ASMT GDB: 136259 CETYLSEROTONIN METHYLTRANSFERASE; ASMT ACETYLSEROTONIN METHYLTRANSFERASE, Y-CHROMOSOMAL; ASMTY; HIOMTY BCH GDB: 118758 CHOREA, HEREDITARY BENIGN; BCH CCAT GDB: 118738 CATARACT, CONGENITAL OR JUVENILE CECR9 GDB: 10796163 CAT EYE SYNDROME; CES CEPA GDB: 581848 CONTROL, CONGENITAL FAILURE OF CHED2 GDB: 9957389 CORNEAL DYSTROPHY, CONGENITAL HEREDITARY CLA1 GDB: 119781 CEREBELLOPARENCHYMAL DISORDER III CLA3 GDB: 128453 CEREBELLOPARENCHYMAL DISORDER I; CPD I CLN4 GDB: 125229 CEROID-LIPOFUSCINOSIS, NEURONAL 4; CLN4 CPO GDB: 119070 COPROPORPHYRIA CSF2RA GDB: 118777 COLONY STIMULATING FACTOR 2 RECEPTOR, ALPHA; CSF2RA GRANULOCYTE-MACROPHAGE COLONY-STIMULATING FACTOR RECEPTOR, ALPHA SUBUNIT, CTS1 GDB: 118779 CARPAL TUNNEL SYNDROME; CTS; CTS1 DF GDB: 132645 FACTOR D DIH1 GDB: 439243 DIAPHRAGMATIC DWS GDB: 128371 SYNDROME; DWS DYT2 GDB: 118788 DYSTONIA MUSCULORUM DEFORMANS 2; DYT2 DYT4 GDB: 433751 DYSTONIA MUSCULORUM DEFORMANS 4; DYT4 EBR3 GDB: 118739 EPIDERMOLYSIS BULLOSA DYSTROPHICA NEUROTROPHICA ECT GDB: 128640 CENTRALOPATHIC EPILEPSY EEF1A1L14 GDB: 1327185 PROSTATIC CARCINOMA ONCOGENE PTI-1 EYCL2 GDB: 4642815 EYE COLOR-3; EYCL3 FA1 GDB: 118795 FANCONI ANEMIA, COMPLEMENTATION GROUP A; FACA FANCB GDB: 9864269 FANCONI PANCYTOPENIA, TYPE 2 GCSH GDB: 126842 HYPERGLYCINEMIA, ISOLATED NONKETOTIC, TYPE III; NKH3 GCSL GDB: 132139 ISOLATED NONKETOTIC, TYPE IV; NKH4 GDF5 GDB: 433948 CARTILAGE-DERIVED MORPHOGENETIC PROTEIN 1 GIP GDB: 119985 GASTRIC INHIBITORY POLYPEPTIDE; GIP GTS GDB: 118807 GILLES DE LA TOURETTE SYNDROME; GTS HHG GDB: 118740 HYPERGONADOTROPIC HYPOGONADISM; HHG HMI GDB: 265275 OF ITO; HMI HOAC GDB: 118812 DEAFNESS, CONGENITAL, AUTOSOMAL RECESSIVE HOKPP2 GDB: 595535 HYPOKALEMIC PERIODIC PARALYSIS, TYPE II; HOKPP2 HRPT1 GDB: 125252 HYPERPARATHYROIDISM, FAMILIAL PRIMARY HSD3B3 GDB: 676973 GIANT CELL HEPATITIS, NEONATAL HTC1 GDB: 265286 HYPERTRICHOSIS UNTVERSALIS CONGENITA, AMBRAS TYPE; HTC1 HV1S GDB: 9955009 HERPES VIRUS SENSITIVITY; HV1S ICR1 GDB: 127785 LAMELLAR, AUTOSOMAL DOMINANT FORM ICR5 GDB: 127789 ICHTHYOSIS CONGENITA, HARLEQUIN FETUS TYPE IL3RA GDB: 128985 INTERLEUKIN-3 RECEPTOR, ALPHA; IL3RA INTERLEUKIN-3 RECEPTOR, Y-CHROMOSOMAL; IL3RA KAL2 GDB: 265288 KALLMANN SYNDROME 2; KAL2 KMS GDB: 118827 SYNDROME; KMS KRT18 GDB: 120127 KERATIN 18; KRT18 KSS GDB: 9957718 KEARNS-SAYRE SYNDROME; KSS LCAT GDB: 119359 FISH-EYE DISEASE; FED LECITHIN: CHOLESTEROL ACYLTRANSFERASE DEFICIENCY LIMM GDB: 9958161 MYOPATHY, MITOCHONDRIAL, LETHAL INFANTILE; LIMM MANBB GDB: 125262 MANNOSIDOSIS, BETA; MANB1 MCPH2 GDB: 9863035 MICROCEPHALY; MCT MEB GDB: 599557 DISEASE MELAS GDB: 9955855 MELAS SYNDROME MIC2 GDB: 120184 SURFACE ANTIGEN MIC2; MIC2; CD99 MIC2 SURFACE ANTIGEN, Y-CHROMOSOMAL; MIC2Y MPFD GDB: 439372 CONGENITAL, WITH FIBER-TYPE DISPROPORTION MS GDB: 229116 SCLEROSIS; MS MSS GDB: 118743 MARINESCO-SJOGREN SYNDROME; MSS MTATP6 GDB: 118897 ATP SYNTHASE 6; MTATP6 MTCO1 GDB: 118900 COMPLEX IV, CYTOCHROME c OXIDASE SUBUNIT I; MTCO1; COI MTCO3 GDB: 118902 CYTOCHROME c OXIDASE III; MTCO3 MTCYB GDB: 118906 COMPLEX III, CYTOCHROME b SUBUNIT MTND1 GDB: 118911 COMPLEX I, SUBUNIT ND1; MTND1 MTND2 GDB: 118912 COMPLEX I, SUBUNIT ND2; MTND2 MTND4 GDB: 118914 COMPLEX I, SUBUNIT ND4; MTND4 MTND5 GDB: 118916 COMPLEX I, SUBUNIT ND5; MTND5 MTND6 GDB: 118917 COMPLEX I, SUBUNIT ND6; MTND6 MTRNR1 GDB: 118920 RIBOSOMAL RNA, MITOCHONDRIAL, 12S; MTRNR1 MTRNR2 GDB: 118921 RIBOSOMAL RNA, MITOCHONDRIAL, 16S; MTRNR2 MTTE GDB: 118926 TRANSFER RNA, MITOCHONDRIAL, GLUTAMIC ACID; MTTE MTTG GDB: 118933 TRANSFER RNA, MITOCHONDRIAL, GLYCINE; MTTG MTTI GDB: 118935 TRANSFER RNA, MITOCHONDRIAL, ISOLEUCENE; MTTI MTTK GDB: 118936 MERRF SYNDROME TRANSFER RNA, MITOCHONDRIAL, LYSINE; MTTK MTTL1 GDB: 118937 MERRF SYNDROME TRANSFER RNA, MITOCHONDRIAL, LEUCINE, 1; MTTL1 MTTL2 GDB: 118938 TRANSFER RNA, MITOCHONDRIAL, LEUCINE, 2; MTTL2 MTTN GDB: 118940 TRANSFER RNA, MITOCHONDRIAL, ASPARAGINE; MTTN MTTP GDB: 118941 TRANSFER RNA, MITOCHONDRIAL, PROLINE; MTTP MTTS1 GDB: 118944 TRANSFER RNA, MITOCHONDRIAL, SERINE, 1; MTTS1 NAMSD GDB: 681237 NEUROPATHY, MOTOR-SENSORY, TYPE II, WITH DEAFNESS AND MENTAL RETARDATION NODAL GDB: 9848762 NODAL, MOUSE, HOMOLOG OF OCD1 GDB: 118846 DISORDER-1; OCD1 OPD2 GDB: 131394 SYNDROME PCK2 GDB: 137198 PHOSPHOENOLPYRUVATE CARBOXYKINASE 2, MITOCHONDRIAL; PCK2 PCLD GDB: 433949 POLYCYSTIC LIVER DISEASE; PLD PCOS1 GDB: 1391802 STEIN-LEVENTHAL SYNDROME PFKM GDB: 120277 GLYCOGEN STORAGE DISEASE VII PKD3 GDB: 127866 KIDNEY DISEASE 3, AUTOSOMAL DOMINANT; PKD3 PRCA1 GDB: 342066 PROSTATE CANCER; PRCA1 PRO1 GDB: 128585 PROP1 GDB: 9834318 PROPHET OF PIT1, MOUSE, HOMOLOG OF; PROP1 RBS GDB: 118862 ROBERTS SYNDROME; RBS RFXAP GDB: 9475355 REGULATORY FACTOR X-ASSOCIATED PROTEIN; RFXAP RP GDB: 9958158 RETINITIS PIGMENTOSA-8 SLC25A6 GDB: 125184 ADENINE NUCLEOTIDE TRANSLOCATOR 3; ANT3 ADENINE NUCLEOTIDE TRANSLOCATOR 3, Y-CHROMOSOMAL; ANT3Y SPG5B GDB: 250333 SPASTIC PARAPLEGIA-5B, AUTOSOMAL RECESSIVE; SPG5B STO GDB: 439375 CEREBRAL GIGANTISM SUOX GDB: 5584405 SULFOCYSTEINURIA TC21 GDB: 5573831 ONCOGENE TC21 THM GDB: 439378 FAMILIAL TST GDB: 134043 RHODANESE; RDS TTD GDB: 230276 TRICHOTHIODYSTROPHY; TTD

EQUIVALENTS

The present invention is not to be limited in scope by the specific embodiments described herein. Indeed, various modifications of the invention in addition to those described will become apparent to those skilled in the art from the foregoing description and accompanying figures. Such modifications are intended to fall within the scope of the appended claims.

Various publications are cited herein, the disclosures of which are incorporated by reference in their entireties. 

1. A method of identifying a compound that modulates premature translation termination or nonsense-mediated mRNA decay, said method comprising: (a) contacting a member of a library of compounds with a cell containing a first nucleic acid sequence and a second nucleic acid sequence, wherein the first nucleic acid sequence comprises a regulatory element operably linked to a reporter gene and the second nucleic acid sequence comprises a nucleotide sequence with a premature stop codon that encodes a regulatory protein that binds to the regulatory element of the first nucleic acid sequence and regulates the expression of the reporter gene; and (b) detecting the expression of the reporter gene, wherein a compound that modulates premature translation termination or nonsense-mediated mRNA decay is identified if the expression of the reporter gene in the presence of the compound is altered relative to the expression of the reporter gene in the absence of the compound or the presence of a negative control.
 2. A method of identifying a compound that modulates premature translation termination or nonsense-mediated mRNA decay, said method comprising: (a) contacting a member of a library of compounds with a cell containing a first nucleic acid sequence, a second nucleic acid sequence and a third nucleic acid sequence, wherein (i) the first nucleic acid sequence comprises a nucleotide sequence encoding a first fusion protein comprising a DNA binding domain and a first protein, the nucleotide sequence encoding the first protein comprising a premature stop codon, (ii) the second nucleic acid sequence comprises a nucleotide sequence encoding a second fusion protein comprising an activation domain and a second protein, the second protein interacting with the first protein to produce a regulatory protein, and (iii) the third nucleic acid sequence comprises a regulatory element operably linked to a reporter gene, the expression of the reporter gene being regulated by the binding of the regulatory protein to the regulatory element; and (b) detecting the expression of the reporter gene, wherein a compound that modulates premature translation termination or nonsense-mediated niRNA decay is identified if the expression of the reporter gene in the presence of the compound is altered relative to the expression of the reporter gene in the absence of the compound or the presence of a negative control.
 3. A method of identifying a compound that modulates premature translation termination or nonsense-mediated niRNA decay, said method comprising: (a) contacting a member of a library of compounds with a cell containing a first nucleic acid sequence, a second nucleic acid sequence and a third nucleic acid sequence, wherein (i) the first nucleic acid sequence comprises a nucleotide sequence encoding a first fusion protein comprising a DNA binding domain and a first protein, (ii) the second nucleic acid sequence comprises a nucleotide sequence encoding a second fusion protein comprising an activation domain and a second protein, the nucleotide sequence encoding the second protein comprising a premature stop codon and the second protein interacting with the first protein to produce a regulatory protein, and (iii) the third nucleic acid sequence comprises a regulatory element operably linked to a reporter gene, the expression of the reporter gene being regulated by the binding of the regulatory protein to the regulatory element; and (b) detecting the expression of the reporter gene, wherein a compound that modulates premature translation termination or nonsense-mediated niRNA decay is identified if the expression of the reporter gene in the presence of the compound is altered relative to the expression of the reporter gene in the absence of the compound or the presence of a negative control.
 4. A method for identifying a compound that modulates premature translation termination or nonsense-mediated mRNA decay, said method comprising: (a) contacting a member of a library of compounds with a cell-free translation mixture and a nucleic acid sequence comprising a regulatory element operably linked to a reporter gene, wherein the reporter gene comprises a premature stop codon and the cell-free translation mixture is isolated from cells that have been incubated on ice at least 12 hours; and (b) detecting the expression of the reporter gene, wherein a compound that modulates premature translation termination or nonsense-mediated mRNA decay is identified if the expression of the reporter gene in the presence of the compound is altered relative to the expression of the reporter gene in the absence of the compound or the presence of a negative control.
 5. A method for identifying a compound that modulates premature translation termination or nonsense-mediated mRNA decay, said method comprising: (a) contacting a member of a library of compounds with a cell-free translation mixture and a nucleic acid sequence comprising a regulatory element operably linked to a reporter gene, wherein the reporter gene comprises a premature stop codon and the cell-free translation mixture is a S12 cell-free extract; and (b) detecting the expression of the reporter gene, wherein a compound that modulates premature translation termination or nonsense-mediated mRNA decay is identified if the expression of the reporter gene in the presence of the compound is altered relative to the expression of the reporter gene in the absence of the compound or the presence of a negative control.
 6. The method of claim 4, wherein the cell-free translation mixture is a S10 to S30 cell-free extract.
 7. The method of claim 6, wherein the cell-free translation mixture is a S12 cell-free extract.
 8. The method of claim 1, 2, 3, 4 or 5, wherein the method further comprises determining the structure of the compound that modulates premature translation termination or nonsense-mediated mRNA decay.
 9. The method of claim 1, 2, 3, 4, or 5, wherein the reporter gene is firefly luciferase, renilla luciferase, click beetle luciferase, green fluorescent protein, yellow fluorescent protein, red fluorescent protein, cyan fluorescent protein, blue fluorescent protein, beta galactosidase, beta glucoronidase, beta lactamase, chloramphenicol acetyltransferase, or alkaline phosphatase.
 10. The method of claim 1, 2, or 3, wherein the cell is selected from the group consisting of 293T, HeLa, MCF7, Wi-38, SkBr3, Jurkat, CEM, THP1, 3T3, and Raw264.7 cells.
 11. The method of claim 4 or 5, wherein the cell-free translation mixture is a cell-free extract from 293T, HeLa, MCF7, Wi-38, SkBr3, Jurkat, GEM, THP1, 3T3 or Raw264.7 cells.
 12. The method of claim 1, 2, 3, 4, or 5, wherein the compound is selected from a combinatorial library of compounds comprising peptoids; random biooligomers; diversomers such as hydantoins, benzodiazepines and dipeptides; vinylogous polypeptides; nonpeptidal peptidomimetics; oligocarbamates; peptidyl phosphonates; peptide nucleic acid libraries; antibody libraries; carbohydrate libraries; and small organic molecule libraries.
 13. The method of claim 12, wherein the small organic molecule libraries are libraries of benzodiazepines, isoprenoids, thiazolidinones, metathiazanones, pyrrolidines, morpholino compounds, or diazepindiones.
 14. The method of claim 1, 2, 3, 4, or 5, wherein the premature stop codon UAG or UGA.
 15. The method of claim 1, 2, 3, 4, or 5, wherein the premature stop codon context is UAGA, UAGC, UAGG, UAGU, UGAA, UGAC, UGAG or UGAU.
 16. The method of claim 4, wherein the cells have been incubated on ice for at least 24 hours.
 17. The method of claim 4, wherein the cell-free translation mixture is a S5 to S25 cell-free extract.
 18. The method of claim 6, wherein the cell-free translation mixture is a S10 cell-free extract.
 19. The method of claim 4, wherein the reporter gene comprises 2 premature stop codons.
 20. The method of claim 5, wherein the reporter gene comprises 2 premature stop codons.
 21. The method of claim 1, 2 or 3, wherein the compound is a small molecule.
 22. The method of claim 4 or 5, wherein the compound is a small molecule.
 23. The method of claim 1, 2 or 3, wherein the compound reduces or suppresses premature translation termination or nonsense-mediated mRNA decay.
 24. The method of claim 4 or 5, wherein the compound reduces or suppresses premature translation termination or nonsense-mediated mRNA decay. 